中国卒中杂志2012，Vol.7Issue(6)：448-452,5.
儿童缺血性卒中的危险因素及临床特点分析
Analysis of Risk Factors and Clinical Characteristics of Ischemic Stroke in Children
邓亚仙 1高宝勤 1王伊龙 2徐娟玉 1杨伟力 1俞雅珍 1王拥军2
作者信息
- 1. 100050北京,首都医科大学附属北京天坛医院儿科
- 2. 首都医科大学附属北京天坛医院神经内科
- 折叠
摘要
Abstract
Objective To summarize the risk factors, etiology and clinical features of ischemic stroke in children. Methods The clinical data of 81 children with ischemic stroke who were hospitalized in Beijing Tiantan Hospital Affiliated to the Capital Medical University from Jan. 2002 to Jun. 2011 were analyzed retrospectively. Eighty-one children were enrolled.
Results There were 60 boys and 21 girls, median onset age of stroke was 6.99 years(ranged from 7 months to 18 years old). Risk factors and etiology included head trauma(37.04%), infection(16.05%), hyperhomocysteinemia(9.88%), vasculitis(7.4%), cardiac disease(6.17%), dissection(6.17%), moyamoya disease(4.94%), aneurysm(1.23%) and neurofibromatosis type I(1.23%). 28.4 percent(n=23) had no identifiable cause. The most frequent clinical manifestation was hemiplegia(92.6%). Central facial paralysis was found in 46 cases. Other neurological manifestation included abnormal feeling, headache and epilepsy. Basal ganglia infarction was found in sixty cases(74.1%) and infarction on the left side was more common than on the right. Conclusion The peak onset of arterial ischemic stroke(AIS) in children is in infancy. Hemiplegia is the most common neurological manifestation. Basal ganglia is the most common territory of infarction. Anterior circulation is more easily involved than posterior circulation.关键词
缺血性卒中/危险因素/儿童Key words
Ischemic stroke/ Risk factors/ Children
引用本文复制引用
邓亚仙,高宝勤,王伊龙,徐娟玉,杨伟力,俞雅珍,王拥军..儿童缺血性卒中的危险因素及临床特点分析[J].中国卒中杂志,2012,7(6):448-452,5.
