患上的危险因素 动脉缺血性中风 童年:一项回顾性队列研究
Gül Yücel1, Ahmet Kadir Arslan2, Bilge Özgör1
1Department of Pediatric Neurology, Faculty of Medicine, Inönü University, Malatya, Turkey.
Epilepsy & behavior : E&B
|June 27, 2024
概括
儿童动脉缺血性中风 (AIS) 幸存者经历早期发作,严重中风或神经缺陷,面临患中风后 (PSE) 的风险更高. 识别这些风险因素有助于儿童早期干预和管理.
科学领域:
- 儿科神经学 儿科神经学
- 脑卒中研究 脑卒中研究
- 研究 研究的研究.
背景情况:
- 脑卒中后 (PSE) 在儿童中比成年人更为普遍.
- 儿童的动脉缺血性中风 (AIS) 可能导致长期的神经复杂症,包括.
- 了解儿科AIS中PSE的风险因素对于有效管理至关重要.
研究的目的:
- 调查诊断为动脉缺血性中风 (AIS) 的儿童中发生中风后 (PSE) 的潜在危险因素.
- 确定与儿科AIS患者PSE发病相关的特定临床和放射学因素.
主要方法:
- 50名患有AIS的儿科患者 (29天至18岁) 的回顾性队列研究.
- 在至少两年的随访期间,医疗记录分析了发育,中风特征和神经状态.
- PSE被定义为两个或两个以上的晚发作 (>中风后7天);急性发作是7天内发生的.
主要成果:
- 超过一半 (58%) 的儿科AIS患者经历了急性发作,38%的患者患上了PSE.
- 显著的PSE风险因素包括非常早期的发作 (在6小时内),高中风严重程度,皮质病变和神经缺陷.
- 低血清维生素D水平也与增加PSE风险有关.
结论:
- 早期发作 (在6小时内),中风严重程度和神经缺陷是儿科AIS中PSE的关键预测因素.
- 这些发现可以帮助临床医生识别患PSE高风险儿童.
- 积极的识别和管理策略可以改善治疗决策和对受影响儿童的后续护理.
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