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Motor Dual-Tasks for Gait Analysis and Evaluation in Post-Stroke Patients
Published on: March 11, 2021
Risk factors and motor outcome of paediatric stroke patients
Zeynep Selen Karalok1, Hulya Maras Genc1, Birce Dilge Taskin1
1Department of Pediatric Neurology, Ankara Children's Hematology-Oncology Training and Research Hospital, Ankara, Turkey.
Insights
Childhood stroke affects many children, often linked to risk factors like prothrombotic states. While most achieve good motor function, younger age and focal neurological signs predict poorer outcomes in pediatric stroke.
Area of Science:
- Pediatric Neurology
- Cerebrovascular Diseases
- Child Health Outcomes
Background:
- Childhood stroke is a significant cause of long-term disability and mortality.
- Understanding the characteristics and outcomes of pediatric stroke is crucial for improving patient care.
Purpose of the Study:
- To define the clinical presentation, etiological factors, and risk factors associated with childhood stroke.
- To evaluate the motor outcomes and recurrence rates in a cohort of pediatric stroke patients.
Main Methods:
- Retrospective analysis of 47 pediatric patients (1 month to 18 years) diagnosed with first-onset stroke between 2006 and 2015.
- Data collected included presenting features, causes, risk factors, recurrence, and motor outcomes assessed by the Gross Motor Function Classification System.
Main Results:
- Arterial stroke (78.7%) was more common than venous stroke (19.1%).
- Prothrombotic state was the most frequent risk factor (33.5%).
- Favorable motor outcomes were observed in 68% of patients; younger age and focal neurological signs correlated with non-favorable outcomes.
Conclusions:
- The majority of childhood stroke cases have identifiable risk factors and favorable motor outcomes.
- Younger age at presentation and focal neurological signs are predictors of non-favorable motor outcomes in pediatric stroke.
Background:
Childhood stroke causes significant morbidity and mortality. In this study, we aimed to define the presenting findings, causes, risk factors and motor outcomes of our patients.
Methods:
We retrospectively analysed patients aged from 1 month to 18 years who were diagnosed as having the first onset of stroke between January 2006 and December 2015. Presenting features, causes, risk factors, recurrence rate and motor outcomes were recorded. Motor outcome was evaluated by the gross motor function classification system.
Results:
Forty-seven children were included in the study. Thirty-eight (78.7%) children had an arterial stroke, 9 (19.1%) had a venous stroke. The median age at the time of presentation was 60 months (3-214). Thirty-two patients (68%) presented with a focal neurological sign and 9 presented with seizure (19.1%). Patients who had a venous stroke presented with more diffuse neurological symptoms than those who had an arterial stroke. At least one risk factor for stroke was identified in 74.5% of the patients; the most common causative factor was prothrombotic state seen in 16 patients (33.5%). Stroke recurred in 5 patients (10.6%); coexistence of multiple factors was a risk factor for recurrence. Presenting with seizure was not a facilitator for epilepsy. Thirty-two (68%) patients had a favourable motor outcome. Younger age (24 months versus 114 months) and presenting with focal neurological signs were related to non-favourable motor outcome.
Conclusion:
Our cohort demonstrates that most of the children had a risk factor for stroke and have had favourable motor outcome. However, younger age and presenting with focal seizures are related to non-favourable motor outcome.
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