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Start Over Author "Lopez Lopez, R." Language spanish; castilian
21 results on '"Lopez Lopez, R."'

21. [Childhood ischemic cerebrovascular disease in a paediatric emergency service: a descriptive study].

Author

Garcia-Sanchez P, Lopez-Lopez R, Rubio-Gordon L, Rosich-Del Cacho B, Tesouro-Rodriguez L, Rivas-Paterna MA, Perez-Moneo Agapito MA, and Garcia-Garcia S

Subjects
Adolescent, Brain Damage, Chronic etiology, Brain Ischemia complications, Brain Ischemia diagnostic imaging, Child, Child, Preschool, Female, Headache etiology, Humans, Infant, Magnetic Resonance Imaging, Male, Movement Disorders etiology, Neuroimaging, Pediatrics, Retrospective Studies, Risk Factors, Tertiary Care Centers statistics & numerical data, Tomography, X-Ray Computed, Brain Ischemia epidemiology, Emergency Service, Hospital statistics & numerical data
Abstract

Aim: To describe the clinical presentation, risk factors and complementary tests in patients of our paediatric emergency service with a final diagnosis of ischemic stroke., Patients and Methods: Retrospective, analytical and observational study, performed in a Paediatric Emergency Service of a tertiary-level hospital. We included patients aged 1 month to 14 years during a 12-years period with a final diagnosis of ischemic cerebrovascular disease (CVD). We analyzed personal history, symptomatology and initial complementary tests., Results: Twelve patients were included, 66% males, with a median age of 77 months. 42% had remarkable history. The most frequent clinical manifestation was motor disorder (75%). 42% were diagnosed in the first 24 hours, noticing an earlier diagnosis after the introduction of a multidisciplinary protocol about CVD. CT was performed in all patients, except in two cases in whom MRI was performed. 50% of the CTs were initially normal. In the etiological study developed lately, only 42% of the patients had risk factors. 91% had some kind of sequel., Conclusions: CVD is uncommon in pediatrics, but with a high morbimortality, so it is important to make an early diagnosis. Clinical and personal history are fundamental, nevertheless, we mainly deal with a previously healthy child without known risk factors at the time of the first evaluation. In case of clinical suspicion of stroke, a normal initial CT does not rule out a CVD, so other additional tests, such as MRI, are necessary.

Published
2018

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