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Published on: April 21, 2017
[Arterial ischemic stroke in children with mild head trauma]
I B Komarova1, V P Zykov1, O V Shuleshko2
1Russian Medical Academy of Postgraduate Education, Moscow.
Insights
Mild head trauma (MHT) is linked to arterial ischemic stroke (AIS) in children. Children with MHT and AIS showed moderate stroke severity and specific lesion characteristics.
Area of Science:
- Pediatric Neurology
- Neuroscience
- Trauma Research
Context:
- Arterial ischemic stroke (AIS) is a significant cause of childhood disability.
- The role of mild head trauma (MHT) in pediatric AIS remains under-investigated.
- Understanding MHT's contribution is crucial for diagnosis and prevention.
Purpose:
- To investigate the association between mild head trauma (MHT) and arterial ischemic stroke (AIS) in pediatric patients.
- To characterize clinical and imaging findings in children experiencing AIS following MHT.
- To compare outcomes between AIS patients with and without a history of MHT.
Summary:
- This study analyzed 81 pediatric AIS patients (1 month to 15 years), stratifying them into MHT and non-MHT groups.
- AIS patients with MHT exhibited moderate acute severity, rapid stabilization, isolated subcortical lesions, and no signs of cerebral arteriopathy.
- A trend towards recurrent stroke risk was observed in the MHT group.
Impact:
- Findings suggest MHT as a potential contributing factor to pediatric AIS.
- Characterization of MHT-associated AIS aids in differential diagnosis and risk assessment.
- This research may inform targeted interventions and preventative strategies for pediatric stroke.
Aim:
To study the relationship between mild head trauma (MHT) and arterial ischemic stroke (AIS) in children.
Material And Methods:
We examined 81 patients with AIS, aged from 1 month to 15 years. The sample was stratified into two groups: patients with AIS caused by MHT (main group) and patients without MHT (comparison group).
Results And Conclusion:
Based on the results of clinical and instrumental studies, we identified the relationship between AIS and MHT. The main group was characterized by the following features: moderate severity in the acute period, stabilization within 7 days, isolated subcortical localization of ischemic lesion, no MRI-signs of steno-occlusive cerebral arteriopathy and a trend towards the risk of recurrent strokes.
