الفهرس | Only 14 pages are availabe for public view |
Abstract Background: Stroke is a neurological injury caused by the occlusion or rupture of cerebral blood vessels. Stroke can be ischemic, hemorrhagic, or both. Ischemic stroke is more frequently caused by arterial occlusion, but it may also be caused by venous occlusion of cerebral veins or sinuses. Hemorrhagic stroke is the result of bleeding from a ruptured cerebral artery or from bleeding into the site of an acute ischemic stroke (AIS). This retrospective study was conducted in Children’s Hospital, in patients aged from more than 1 month till younger than 16 years through revising their admission files and files of patients presented to our Pediatric Neurology Clinic in the past 5 years to identify cases who were presented with stroke. The study showed that the commonest symptoms of the patients of stroke were hemiparesis and seizures (70%), followed by cranial nerve affection (50%), then disturbed conscious level (30%). Regarding radiological investigations; CT was done to 100% of the patients, MRI to 75% of cases while MRA to 65% of them and MRV 25%. Echo was done to 45 % of stroke patients. As a regards the treatment of stroke, our study showed that anticoagulants and anticonvulsants were the most common treatments taken by the patients of ischemic stroke while hemorrhagic stroke patients took only supportive treatment. Further, 40% of the patients received LMWH only, 15% received Aspirin only while 35%received both LMWH +Aspirin. |