Original Research Article
Year: 2019 | Month: June | Volume: 9 | Issue: 6 | Pages: 25-30
Clinico-Etiological Profile of Childhood Stroke in a Tertiary Care Hospital in Mumbai
Dr. Shriganesh Patil1, Dr. Arpita Adhikari-Thakker2, Dr Mona Gajre3, Dr. Reema Garegrat4
1Fellow Registrar, 2Associate Professor, 3Professor
Divison of Pediatric Neurology, Epilepsy & Developmental Pediatrics,
Dept. Of Pediatrics, LTMMC & GH, SION.
4Registrar, Dept. Of Pediatrics,K B Bhabha hospital, Bandra
Corresponding Author: Dr. Shriganesh Patil
ABSTRACT
Background: Stroke is relatively rare in children, but can lead to significant morbidity and mortality. Understanding that children with stroke present differently than adults and often present with unique risk factors will optimize outcome in children. Despite an increased incidence of pediatric stroke, there is often a delay in diagnosis, and cases may still remain under- or misdiagnosed. Clinical presentation will vary based on the child's age, and children will have risk factors for stroke that are less common than in adults
Objective: To determine the clinical and etiological profile of childhood stroke.
Materials and Methods: This study was conducted in a tertiary Care Hospital of Mumbai. All children from 6 months to 12 years, diagnosed as childhood stroke by radio-imaging were included in our study. Etiologies were determined on the basis of clinical examination, related blood investigations and radio-imaging findings. Data gathered from the stroke patients were entered into a preformed proforma and appropriate statistical analyses were done.
Result: Most commonly found clinical presentation was hemiparesis (84.84%). Next in place were seizure (57.57%), altered sensorium (54,54%) , fever and cranial nerve involvement (45.45%) each. The most common etiology of childhood stroke in our hospital was found to be an intracranial infection (38.70%), followed by Idiopathic. Stroke was ischemic in nature in 93.93% of cases. Among the clinical features alteration of sensorium, and fever were significantly (P < 0.01) more in infectious cases of stroke, but hemiparesis was significant (P < 0.05) in noninfectious etiology.
Conclusion: Intracranial infection is the commonest etiology of stroke in pediatric patients presenting at our hospital. Commonest type was an ischemic stroke
Key words: Hemiplegia, infections, stroke