Treatment Challenges in Pediatric Stroke Patients

摘要

Aim. In this study we presented our experience of18 years on the etiology, risk factors, prophylactic and acutetreatment, the effect of treatment to recurrence rate of patientswith stroke.Methods. The population included 108patients who had been treated for stroke at Pediatric NeurologyDepartment of Ankara University with the diagnosis of arterialischemic stroke and sinovenous thrombosis between January 1992 andAugust 2010. Forty-one girls (38%) and 67 boys (62%) with meansymptom age3.1±4.04years, (0–18 years old) were followed upwith a mean period of4.9±3.78years (0–17 years).Results. 30patients had no risk factors, 34 patients had only one risk factorand 44 patients had multiple risk factors. Recurrence was seen inthree patients. There was no any statistical correlation betweenthe recurrence of stroke and the existence of risk factors (P=.961). Seventeen patients received prophylactic treatment; 2 ofthem without any risk factors, 3 had one risk factor, 12 patients,who constituted the majority of our patients, had multiple riskfactors (P=.024).Conclusion. With this study we showed that theright prophylaxis for right patients reduces the rate ofrecurrence.