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Pediatric stroke is a stroke that occurs in children or adolescents. Stroke affects an estimated 2.5 to 13 per 100,000 children annually. [1] The signs and symptoms of stroke in children, infants, and newborns are different from those in adults. The causes and risk factors of stroke in children are also different from those in adults. [2]
Hypoxia refers to deficiency of oxygen, Ischemia refers to restriction in blood flow to the brain. The result is “encephalopathy” which refers to damaged brain cells. Encephalopathy is a nonspecific response of the brain to injury which may occur via multiple methods, but is commonly caused by birth asphyxia, leading to cerebral hypoxia. [2 ...
Neonatal stroke, similar to a stroke which occurs in adults, is defined as a disturbance to the blood supply of the developing brain in the first 28 days of life. [1] This description includes both ischemic events, which results from a blockage of vessels, and hypoxic events, which results from a lack of oxygen to the brain tissue, as well as some combination of the two.
The majority of infants who were later diagnosed with presumed perinatal stroke were free of symptoms during the neonatal period. [20] The timing that a stroke occurs varies between the 140th day of the pregnancy period and the 28th postpartum day among those infants suffering from presumed perinatal stroke. [ 1 ]
A person can show one or more of these symptoms during a stroke. If person has a decrease in consciousness, they may be suffering from a stroke in more than one part of the brain or in the brain stem. [12] Symptoms of cerebral infarction can help determine which parts of the brain are affected.
Other symptoms include difficulty speaking, slurred speech, and the loss of coordination. [8] The symptoms of brain ischemia range from mild to severe. Further, symptoms can last from a few seconds to a few minutes or extended periods of time. If the brain becomes damaged irreversibly and infarction occurs, the symptoms may be permanent. [9]
Vascular dementia can be caused by ischemic or hemorrhagic infarcts affecting multiple brain areas, including the anterior cerebral artery territory, the parietal lobes, or the cingulate gyrus. [5] On rare occasion, infarcts in the hippocampus or thalamus are the cause of dementia. [ 12 ]
The most common presentation of cerebrovascular diseases is an acute stroke, which occurs when blood supply to the brain is compromised. [13] Symptoms of stroke are usually rapid in onset, and may include weakness of one side of the face or body, numbness on one side of the face or body, inability to produce or understand speech, vision changes ...