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Childhood strokes: epidemiology, clinical features and risk factors
Insights
Childhood stroke impacts Pakistani children, with infectious disorders and anemia being key risk factors. Early identification and intervention are crucial for managing this significant health issue.
Area of Science:
- Neurology
- Pediatrics
- Epidemiology
Background:
- Childhood stroke presents a substantial health challenge with significant long-term economic, social, and psychological consequences for affected children and their families.
- Understanding the epidemiology and clinical characteristics of pediatric stroke is essential for developing effective management strategies.
Purpose of the Study:
- To investigate the epidemiology and clinical features of stroke in a cohort of Pakistani children.
- To identify the causes and potential risk factors associated with childhood stroke in the study population.
Main Methods:
- A cross-sectional study was conducted involving 46 pediatric patients diagnosed with cerebrovascular disease.
- Data collection included clinical assessments, general physical and systemic examinations, and retrieval of epidemiological, clinical, neuro-imaging, and laboratory data.
Main Results:
- The study included 46 patients, with equal gender distribution and a mean age of presentation at 39 months.
- Limb weakness was the most common presenting symptom (80.43%).
- Infectious disorders (67.39%) and microcytic hypochromic anemia (60.86%) were identified as the most prevalent risk factors.
Conclusions:
- Childhood stroke is associated with considerable long-term morbidity.
- Identifying specific risk factors, such as infections and anemia, is vital for implementing preventive measures and guiding interventions in pediatric stroke cases.
Background:
Stroke constitutes a significant health problem in paediatric population. The impact of childhood stroke can easily be realised in terms of economic, social and psychological burden related to disability of the affected children. The objective of study was to outline the epidemiology and clinical features of stroke in a cohort of Pakistani children and also ascertain the causes and potential risk factors in these patients.
Methods:
The study was conducted at the Department of Paediatrics, Ayub Teaching Hospital from January 2008 to October 2010. It was a cross sectional study. A total of 46 patients were included in the study who presented with cerebrovascular disease and were assessed clinically using general physical and systemic examination. The salient epidemiological, clinical, neuro-imaging and laboratory data was retrieved in designed protocol.
Results:
Out of a total of 46 patients, 50% were from either gender. Mean age of presentation was 39 months. Limb weakness was the commonest presenting feature being present in 37 (80.43%) patients. Infectious disorders was the most prevalent risk factor present in 31 (67.39%) patients followed by microcytic hypochromic anaemia in 28 (60.86%) patients.
Conclusion:
A Childhood stroke is a disorder with long term morbidity. Identification of risk factors is important in preventing the disorder by guiding appropriate interventions.
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