Nemati Hamid, Behrad Leila, Esmaeil Zadeh Hossein, Mahdizadegan Nima, Paktinat Mohammad
Shiraz Neuroscience Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Pediatrics, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Iran J Child Neurol. 2023 Winter;17(1):55-64. doi: 10.22037/ijcn.v17i1.30179. Epub 2023 Jan 1.
Childhood stroke is linked to high personal costs for affected children and their families since more than half of the survivors are impaired for a long time, hampering their normal development and lifestyle. Thus, the present study aimed to evaluate the neurological developmental outcomes of children admitted to Namazi hospital, Shiraz, Iran, for ischemic and hemorrhagic stroke with a five-year follow-up. Ma a retrospective cohort study on children admitted to Namazi Hospital due to ischemic and hemorrhagic stroke during the past three years (2012-2015). The information was collected by reviewing the medical records and clinically visiting the patients on follow-up. The SPSS 21.0 software was used for statistical analysis.
MATERIALS & METHOD: This is a retrospective cohort study on children admitted to Namazi hospital due to ischemic and hemorrhagic stroke during past three years (2012-2015). The information was collected by reviewing the medical records and clinically visiting the patients at the time of follow up. The SPSS 21.0 software was used for statistical analysis Settings.
The patients' mean age at the time of stroke was 6.87 ± 4.60 years. The mean follow-up period was 3.5 ± 1.64 years. 53.1% of the children (N=17) were diagnosed with hemorrhagic stroke, and 46.9% (N=15) with ischemic stroke. The most frequent symptoms first presented by the study population were a decrease in the level of consciousness (LOC) (40.6%), headaches (37.5 %), and hand/arm/leg weakness (34.4%), respectively. The number of patients in the poor.and severe outcome group was 73.3% in the ischemic and 52.9% in the hemorrhagic group.
Hemorrhagic stroke was slightly more frequent than ischemic stroke, and stroke was more frequent in boys. A decrease in LOC and headaches were the most common symptoms upon admission. The left sensorimotor area was the most involved in both ischemic and hemorrhagic groups. In addition, trauma was the most common cause of stroke in this study population.
儿童中风给患病儿童及其家庭带来了高昂的个人代价，因为半数以上的幸存者长期存在功能障碍，阻碍了他们的正常发育和生活方式。因此，本研究旨在对因缺血性和出血性中风入住伊朗设拉子纳马齐医院的儿童进行五年随访，评估其神经发育结局。这是一项对过去三年（2012 - 2015年）因缺血性和出血性中风入住纳马齐医院的儿童进行的回顾性队列研究。通过查阅病历和在随访时对患者进行临床访视来收集信息。使用SPSS 21.0软件进行统计分析。
这是一项对过去三年（2012 - 2015年）因缺血性和出血性中风入住纳马齐医院的儿童进行的回顾性队列研究。通过查阅病历和在随访时对患者进行临床访视来收集信息。使用SPSS 21.0软件进行统计分析。
中风发生时患者的平均年龄为6.87±4.60岁。平均随访期为3.5±1.64年。53.1%的儿童（N = 17）被诊断为出血性中风，46.9%（N = 15）为缺血性中风。研究人群最初出现的最常见症状分别是意识水平下降（LOC）（40.6%）、头痛（37.5%）和手/臂/腿无力（34.4%）。缺血性组和出血性组中预后不良和严重的患者比例分别为73.3%和52.9%。
出血性中风的发生率略高于缺血性中风，且中风在男孩中更为常见。意识水平下降和头痛是入院时最常见的症状。在缺血性和出血性组中，左侧感觉运动区受累最为常见。此外，创伤是本研究人群中中风最常见的原因。
