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Incidence and Etiology of Stroke among Hospitalized Children: A Case-Series Study

Zarin Taj Keihani Doust, Fatemeh Noori Sari, Parvin Akbari Asbagh

    Iranian Journal of Child Neurology
    |January 2, 2019
    PubMed

    Insights

    Pediatric stroke incidence in Tehran was 0.75 per 100,000 children. Hemorrhagic stroke, trauma, coagulopathy, and vasculopathy were the most frequent causes, requiring prevention and early treatment strategies.

    Area of Science:

    • Pediatric Neurology
    • Epidemiology
    • Neuroscience

    Background:

    • Stroke, a critical neurological event, involves brain vessel blockage or rupture, leading to significant impairment in children.
    • Understanding the incidence and causes of pediatric stroke is crucial for developing effective prevention and treatment strategies.

    Purpose of the Study:

    • To investigate the incidence and etiological factors of stroke in hospitalized children in Tehran, Iran, between 2008 and 2013.

    Main Methods:

    • A case series study was conducted at Vali-Asr Hospital, Imam Khomeini Hospitals Complex, Tehran.
    • Included were children aged one month to 15 years diagnosed with stroke via brain imaging.
    • Data on demographics, risk factors, and neuroimaging were collected from the hospital reporting system.

    Main Results:

    • Stroke was diagnosed in 15 out of 20,000 admitted children over five years, yielding an incidence of 0.75 per 100,000.
    • Hemorrhagic stroke (26%) was the most common type, followed by vascular (20%) and coagulopathy disorders (20%).
    • The most affected age group was 4-6 years, with a mean age of 4.9 years; males were more affected than females.

    Conclusions:

    • The study established a pediatric stroke incidence of 0.75 per 100,000 in the studied population.
    • Hemorrhagic stroke, often linked to major trauma, coagulopathy, and vasculopathy, represents a significant cause in children.
    • Implementing targeted prevention, early diagnosis, and prompt treatment strategies is essential for managing pediatric stroke.
    Abstract

    Keywords:
    Adult childrenCerebral blood flowInfantStroke

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