[Ischemic stroke in children]

J Benito-León1, A L Guerrero, R Simón

  • 1Servicio de Neurología Infantil, Hospital Universitario 12 de Octubre, Madrid, España. jbenitol@meditex.es

Revista De Neurologia
|November 6, 1998
PubMed

Insights

Pediatric ischemic stroke is rare, with varied causes including idiopathic, heart disease, and migraine. Many children experience long-term disabilities like hemiparesis and epilepsy after this condition.

Area of Science:

  • Neurology
  • Pediatrics
  • Vascular Medicine

Context:

  • Ischemic stroke in pediatric populations is an uncommon yet significant neurological event.
  • Understanding the diverse etiologies and outcomes is crucial for effective management.

Purpose:

  • To analyze the clinical characteristics, etiological factors, and outcomes of ischemic stroke in a cohort of 23 pediatric patients.
  • To identify common and unusual causes, as well as the sequelae of pediatric ischemic stroke.

Summary:

  • This retrospective study reviewed 23 pediatric patients (1 month to 13 years) with ischemic stroke.
  • Common etiologies included idiopathic (30.4%), cardiopathy (21.7%), and migraine (17.4%). Vertebro-basilar territory strokes occurred in 21.7% of cases.
  • Outcomes varied, with 39.1% achieving complete recovery, 4.3% mortality, and 56.6% experiencing disabilities such as hemiparesis and epilepsy.

Impact:

  • Highlights the multifactorial nature of pediatric ischemic stroke, emphasizing the need for comprehensive etiological investigation.
  • Underscores the significant long-term morbidity associated with pediatric ischemic stroke, impacting quality of life.
  • Identifies unusual etiologies like migraine and Mycoplasma pneumoniae infection, broadening the differential diagnosis for pediatric stroke.
Abstract

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