Perinatal strokes
Authors:
K. Maťašová 1; Z. Trabalková 2
Authors‘ workplace:
Neonatologická klinika, Jesseniova lekárska fakulta UK a Univerzitná nemocnica, Martin
1; Rádiologická klinika, Jesseniova lekárska fakulta UK a Univerzitná nemocnica, Martin
2
Published in:
Čes-slov Neonat 2023; 29 (1): 24-33.
Category:
Reviews
Overview
Perinatal strokes represent a group of cerebrovascular diseases, that cause a focal injury in developing brain. They occur between 20th gestational week and 28th postnatal day. Clinical manifestation is either acute, typically by seizures within the first postnatal days, or they present later, during the first year of life by impaired psychomotor development and hemiparetic cerebral palsy. The brain injury results from the interruption of the blood flow in the arterial or venous part of cerebral circulation leading to focal ischemia and / or haemorrhage. Although the incidence is relatively high, the causative mechanisms are not completely understood. In the diagnosis it is necessary to think about strokes and indicate imaging examination early. Early treatment can minimise consequences of perinatal stroke. Along with neuroprotection, endovascular treatment should be considered in the patient management. A child with perinatal stroke requires a long-term follow up and intensive rehabilitation. Beside motor impairment, epilepsy and cognitive disorders are common complications.
Keywords:
stroke – newborn – thrombosis – seizures – ischemia
Sources
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NeonatologyArticle was published in
Czech and Slovak Neonatology
2023 Issue 1
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