Stroke in children and adolescents

Khachaturov Y.A.

Morozov Children’s City Clinical Hospital of Moscow Healthcare Department

Shchederkina I.O.

Morozov Children’s City Clinical Hospital of Moscow Healthcare Department

Plavunov N.F.

Puchkov First Aid Station;
Evdokimov Moscow State University of Medicine and Dentistry

Vlasov P.N.

Evdokimov Moscow State University of Medicine and Dentistry

Kuleshov N.N.

Morozov Children’s City Clinical Hospital of Moscow Healthcare Department

Sidorov A.M.

Puchkov First Aid Station;
Evdokimov Moscow State University of Medicine and Dentistry

Kessel A.E.

St. Vladimir Children’s City Clinical Hospital

Gorev V.V.

Morozov Children’s City Clinical Hospital;
Research Institute of Health Care Organization and Medical Management

Livshits M.I.

Morozov Children’s City Clinical Hospital;
Pirogov Russian National Research Medical University

Kadyshev V.A.

Puchkov First Aid Station;
Evdokimov Moscow State University of Medicine and Dentistry

Oleynikov B.I.

Morozov Children’s City Clinical Hospital

Stroke in children and adolescents

Authors:

Khachaturov Y.A., Shchederkina I.O., Plavunov N.F., Vlasov P.N., Kuleshov N.N., Sidorov A.M., Kessel A.E., Gorev V.V., Livshits M.I., Kadyshev V.A., Oleynikov B.I.

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Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2022;122(12‑2): 76‑83

DOI: 10.17116/jnevro202212212276

Downloaded: 91

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To cite this article:

Khachaturov YA, Shchederkina IO, Plavunov NF, et al. . Stroke in children and adolescents. S.S. Korsakov Journal of Neurology and Psychiatry. 2022;122(12‑2):76‑83. (In Russ.)
https://doi.org/10.17116/jnevro202212212276

Подписка 2025-2 (S.S. Korsakov Journal of Neurology and Psychiatry (special issues))

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OBJECTIVE

A comparative analysis of symptoms in arterial ischemic and stroke-like conditions in children, the development and analysis of the «Presumptive stroke in children» scale for prehospital diagnosis of ischemic strokes in children.

MATERIAL AND METHODS

This article analyzes cases of emergency hospitalization of children in a stroke center with suspected cerebrovascular pathology as well as the symptoms of patients with suspected ischemic stroke, compares the leading and final diagnoses, identifies the main «mimics» of stroke and their symptom complexes. A comparison of the obtained data with the results of previous studies was carried out.

RESULTS

The results show the prevalence of motor disorders and coordination disorders in cases of ischemic stroke and cerebral symptoms in cases of stroke-like conditions in children. The most frequent stroke-mimic is migraine. Based on the results of the study, we propose a screening scale for pre-hospital diagnosis of ischemic stroke in children. A preliminary assessment of the effectiveness of the scale using examples of cases of confirmed stroke and stroke-mimic was performed.

CONCLUSION

Timely hospitalization of children with stroke can not only reduce mortality, but also use modern diagnostic and treatment methods to reduce the volume of brain damage with a possible complete restoration of motor and cognitive functions. Further analysis of the sensitivity and specificity of the «Presumptive stroke in children» scale is required.

Keywords:

stroke

stroke in children

childhood arterial ischemic stroke

stroke mimics

prehospital diagnosis of stroke

early detection of stroke

Authors:

Khachaturov Y.A.

Morozov Children’s City Clinical Hospital of Moscow Healthcare Department

Shchederkina I.O.

Morozov Children’s City Clinical Hospital of Moscow Healthcare Department

Plavunov N.F.

Puchkov First Aid Station;
Evdokimov Moscow State University of Medicine and Dentistry

Vlasov P.N.

Evdokimov Moscow State University of Medicine and Dentistry

Kuleshov N.N.

Morozov Children’s City Clinical Hospital of Moscow Healthcare Department

Sidorov A.M.

Puchkov First Aid Station;
Evdokimov Moscow State University of Medicine and Dentistry

Kessel A.E.

St. Vladimir Children’s City Clinical Hospital

Gorev V.V.

Morozov Children’s City Clinical Hospital;
Research Institute of Health Care Organization and Medical Management

Livshits M.I.

Morozov Children’s City Clinical Hospital;
Pirogov Russian National Research Medical University

Kadyshev V.A.

Puchkov First Aid Station;
Evdokimov Moscow State University of Medicine and Dentistry

Oleynikov B.I.

Morozov Children’s City Clinical Hospital

Received:

29.06.2022

Accepted:

14.07.2022

List of references:

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