[Stroke in children and adolescents].
| Autor: | Khachaturov YA; Morozov Children's City Clinical Hospital, Moscow, Russia., Shchederkina IO; Morozov Children's City Clinical Hospital, Moscow, Russia., Plavunov NF; Puchkov First Aid Station, Moscow, Russia.; Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia., Vlasov PN; Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia., Kuleshov NN; Morozov Children's City Clinical Hospital, Moscow, Russia., Sidorov AM; Puchkov First Aid Station, Moscow, Russia.; Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia., Kessel AY; Morozov Children's City Clinical Hospital, Moscow, Russia., Gorev VV; Morozov Children's City Clinical Hospital, Moscow, Russia.; Research Institute of Health Care Organization and Medical Management, Moscow, Russia., Livshits MI; Morozov Children's City Clinical Hospital, Moscow, Russia.; Pirogov Russian National Research Medical University, Moscow, Russia., Kadyshev VA; Puchkov First Aid Station, Moscow, Russia.; Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia., Oleynikov BI; Morozov Children's City Clinical Hospital, Moscow, Russia. |
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| Jazyk: | ruština |
| Zdroj: | Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova [Zh Nevrol Psikhiatr Im S S Korsakova] 2022; Vol. 122 (12. Vyp. 2), pp. 76-83. |
| DOI: | 10.17116/jnevro202212212276 |
| Abstrakt: | Objective: A comparative analysis of symptoms in arterial ischemic and stroke-like conditions in children, the development and analysis of the «Presumptive stroke in children» scale for prehospital diagnosis of ischemic strokes in children. Material and Methods: This article analyzes cases of emergency hospitalization of children in a stroke center with suspected cerebrovascular pathology as well as the symptoms of patients with suspected ischemic stroke, compares the leading and final diagnoses, identifies the main «mimics» of stroke and their symptom complexes. A comparison of the obtained data with the results of previous studies was carried out. Results: The results show the prevalence of motor disorders and coordination disorders in cases of ischemic stroke and cerebral symptoms in cases of stroke-like conditions in children. The most frequent stroke-mimic is migraine. Based on the results of the study, we propose a screening scale for pre-hospital diagnosis of ischemic stroke in children. A preliminary assessment of the effectiveness of the scale using examples of cases of confirmed stroke and stroke-mimic was performed. Conclusion: Timely hospitalization of children with stroke can not only reduce mortality, but also use modern diagnostic and treatment methods to reduce the volume of brain damage with a possible complete restoration of motor and cognitive functions. Further analysis of the sensitivity and specificity of the «Presumptive stroke in children» scale is required. |
| Databáze: | MEDLINE |
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