Ischemic stroke in children depending on risk factors
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616.831-005.4-053.2 (3)
Neurologie. Neuropatologie. Sistem nervos (448)
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SPRINCEAN, Mariana; HADJIU, Svetlana; CĂLCÎI, Cornelia; LUPUŞOR, Nadejda; REVENCO, Ninel; GROPPA, Stanislav. Ischemic stroke in children depending on risk factors. In: Moldovan Medical Journal. 2021, nr. 2(64), pp. 5-11. ISSN 2537-6373.
10.52418/moldovan-med-j.64-2.21.01
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Moldovan Medical Journal
Numărul 2(64) / 2021 / ISSN 2537-6373 /ISSNe 2537-6381

Ischemic stroke in children depending on risk factors


CZU: 616.831-005.4-053.2
DOI: 10.52418/moldovan-med-j.64-2.21.01
Pag. 5-11

Sprincean Mariana1, Hadjiu Svetlana1, Călcîi Cornelia1, Lupuşor Nadejda1, Revenco Ninel1, Groppa Stanislav2
 
1 Institute of Mother and Child,
2 ”Nicolae Testemițanu” State University of Medicine and Pharmacy
 
Disponibil în IBN: 4 mai 2021


Rezumat

Background: Ischemic stroke (IS) in children is a major neuropediatric emergency. The incidence of stroke in children is from 2 to 13 for 100000 children. IS in perinatal period occurs in 1 for 2300 – 5000 live births. Material and methods: In 2010 – 2019 in the Republic of Moldova was carried out a retrospective as well as prospective study on a cohort of 458 children diagnosed with stroke. Were studied possible risk factors related to IS. Out of 458 children, 284 children with IS were selected and diagnosed during the reference period. Results: IS was determined in 284 cases with the diagnosis of stroke (62%, 95CI 59.73-64.27). Among the most common risk factors for the development of neonatal IS are pathologies of amniotic membranes in 113 cases (39.8%, 95CI 36.9-42.7), pathologies of amniotic fluid with meconium in 135 cases (47.5%, 95CI 44.54-50.46), and history of urgent caesarean section in 132 cases (46.5%, 95CI 43.54-49.46). Among the etiological causes of IS in the studied children were: congenital heart anomalies in 52 cases (18.3%, 95CI 16.01-20.59), neonatal encephalopathy in 27 cases (9.5%, 95CI 7.76-11.24), genetic syndromes in 18 cases (6.3%, 95CI 4.85-7.75), sickle cell disease – 5 (1.8%, 95CI 1.06–2.54), MELAS syndrome – 4 (1.4%, 95CI 0.7-2.1). Conclusions: IS risk factors are an important problem in clinical research. Most often, there is not a single risk factor responsible for the development of IS in children.

Cuvinte-cheie
stroke, ischemic, children, risk factors.