Hetherington Ross, Tuff Larry, Anderson Peter, Miles Brenda, deVeber Gabrielle
Department of Psychology, University of Toronto, The Hospital for Sick Children, Toronto, Ontario.
J Child Neurol. 2005 Jul;20(7):553-9. doi: 10.1177/08830738050200070201.
Arterial ischemic stroke is approximately four times more prevalent than sinovenous thrombosis and has been associated with a worse neurologic outcome than sinovenous thrombosis; however, no data are available comparing intellectual outcome after pediatric arterial ischemic stroke and sinovenous thrombosis. We report the short-term intellectual outcome (mean 5.8 months since stroke) in a sample of 72 children, 47 with arterial ischemic stroke, and 25 with sinovenous thrombosis. Intellectual outcome measures were the Full-Scale IQ of the age-appropriate Wechsler intelligence test for older children and the Mental Developmental Index of the Bayley Scales of Infant Development for younger children. Stroke type did not directly influence intellectual outcome. Intellectual outcome was in the normal range whether the children had suffered an arterial ischemic stroke or a sinovenous thrombosis.
动脉缺血性卒中的患病率约为静脉窦血栓形成的四倍,且与比静脉窦血栓形成更差的神经学预后相关;然而,尚无比较小儿动脉缺血性卒中和静脉窦血栓形成后智力预后的数据。我们报告了72例儿童的短期智力预后(卒中后平均5.8个月),其中47例为动脉缺血性卒中,25例为静脉窦血栓形成。智力预后测量指标为年龄稍大儿童采用的韦氏智力测验的全量表智商,以及年龄较小儿童采用的贝利婴儿发育量表的心理发育指数。卒中类型并未直接影响智力预后。无论儿童患的是动脉缺血性卒中还是静脉窦血栓形成,其智力预后均在正常范围内。