dc.contributor.author | Caliskan, Mine | |
dc.contributor.author | Aydinli, Nur | |
dc.contributor.author | Tatli, Burak | |
dc.contributor.author | Ozmen, Meral | |
dc.contributor.author | Uzunhan, Tugce Aksu | |
dc.date.accessioned | 2021-03-05T13:37:57Z | |
dc.date.available | 2021-03-05T13:37:57Z | |
dc.date.issued | 2019 | |
dc.identifier.citation | Uzunhan T. A. , Aydinli N., Caliskan M., Tatli B., Ozmen M., "Short-term neurological outcomes in ischemic and hemorrhagic pediatric stroke", PEDIATRICS INTERNATIONAL, cilt.61, ss.166-174, 2019 | |
dc.identifier.issn | 1328-8067 | |
dc.identifier.other | av_b31ddfb4-4e88-44ed-a691-55f49ffa6305 | |
dc.identifier.other | vv_1032021 | |
dc.identifier.uri | http://hdl.handle.net/20.500.12627/119323 | |
dc.identifier.uri | https://doi.org/10.1111/ped.13737 | |
dc.description.abstract | Background The aim of this study was to retrospectively assess short-term neurological outcomes in pediatric stroke with regard to patient characteristics. Methods Children aged 28 days-18 years with arterial ischemic stroke (AIS), cerebral sinovenous thrombosis (CSVT), and hemorrhagic stroke (HS) between 2007 and 2013 were evaluated. Neurological findings in the first 3 months were accepted as short-term prognosis, and modified Rankin scale was used. Results A total of 33 patients (62%) with AIS, 12 (23%) with HS, and eight (15%) with CSVT were included. Moya moya syndrome was the most common new diagnosis in AIS. Stroke recurred in five (15%); and one AIS patient with posterior circulation infarct died (3%). Prognosis in AIS was favorable for 20 patients (61%) and poor for 13 patients (39%). Forty-two percent of HS were of vascular origin. Seven patients (70%) with HS had good prognosis and three (30%) had poor prognosis with no death. Homocysteine-related hypercoagulability was most frequently noted in the etiology of CSVT. Synchronous systemic thrombosis was observed in three CSVT patients (37.5%) and death occurred in two (25%). Prognosis was evaluated as favorable for three CSVT patients (37.5%) and poor for five (62.5%). For thrombophilia, thrombosis panel was performed fully in 83% of AIS and CSVT patients. Conclusions Pediatric stroke is associated with a poor prognosis in a substantial number of patients in the short term, with CSVT having the worst prognosis. Detailed patient characteristics are listed not only for ischemic but also for hemorrhagic stroke; and a full thrombosis panel was achieved for most ischemic stroke patients. | |
dc.language.iso | eng | |
dc.subject | Çocuk Sağlığı ve Hastalıkları | |
dc.subject | Dahili Tıp Bilimleri | |
dc.subject | Sağlık Bilimleri | |
dc.subject | Tıp | |
dc.subject | Klinik Tıp (MED) | |
dc.subject | Klinik Tıp | |
dc.subject | PEDİATRİ | |
dc.title | Short-term neurological outcomes in ischemic and hemorrhagic pediatric stroke | |
dc.type | Makale | |
dc.relation.journal | PEDIATRICS INTERNATIONAL | |
dc.contributor.department | Istanbul Okmeydani Training & Research Hospital , , | |
dc.identifier.volume | 61 | |
dc.identifier.issue | 2 | |
dc.identifier.startpage | 166 | |
dc.identifier.endpage | 174 | |
dc.contributor.firstauthorID | 262076 | |