儿童急性动脉缺血性中风:单中心体验
Muharrem Bostancı1, Arzu Ekici1, Cengiz Havalı1
1University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital, Department of Pediatrics, Bursa, Turkey.
Arquivos de neuro-psiquiatria
|June 25, 2025
概括
儿童动脉缺血性中风 (AIS) 需要及时诊断和物理治疗. 早期的大脑CT扫描对于识别中风至关重要,MTHFR基因突变和心脏异常是儿科AIS病例中常见的相关因素.
科学领域:
- 儿科神经学 儿科神经学
- 神经辐射学神经辐射学
- 遗传学 是一个遗传学.
背景情况:
- 儿童动脉缺血性中风 (AIS) 是死亡率和发病率的重要原因.
- 早期诊断和治疗对于改善儿科AIS的结果至关重要.
- 应立即开始物理治疗.
研究的目的:
- 突出早期诊断和治疗儿童AIS的重要性.
- 强调儿童AIS病例早期开始物理治疗的必要性.
- 审查临床发现,诊断方法和儿童AIS相关情况.
主要方法:
- 回顾23名被诊断患有AIS的儿科患者 (1个月至18岁) 的医疗记录.
- 对呈现神经病情,放射学发现 (大脑CT),遗传突变 (MTHFR) 和并发疾病的分析.
- 在2016年1月至2020年6月期间在三级医疗机构收集的数据.
主要成果:
- 神经缺陷是最常见的表现 (52%),其次是发作 (21%) 和面部 (21%).
- 在12次初始扫描中,脑CT检测出了8次心脏病发作 (66%),其中82%的病例涉及大脑.
- 经常观察到MTHFR基因突变 (A1298C和677C>T). 还注意到心脏异常 (30%) 和心室关节突变.
结论:
- 儿科AIS呈现出各种临床症状,包括不寻常的症状,如打和眼神.
- 脑部CT对于儿童的诊断至关重要,特别是当MRI不易获得时.
- 诸如内手术,分流和低体积等疾病可能会增加中风风险.
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