Risk factors for arterial ischemic and hemorrhagic stroke in childhood.

Abstract:

:This study assessed potential etiologies of arterial ischemic stroke and hemorrhagic stroke among children of Mainland China. From January 1996-June 2006, 251 patients with consecutive childhood stroke (aged 1 month through 16 years) were admitted to Beijing Children's Hospital. Arterial ischemic stroke accounted for the majority of cases (62.5%). Idiopathic stroke (32.5%) was more common than cardiac stroke (8.9%), vascular or arteriopathic stroke (21.0%), hematologic disorder-associated stroke (10.8%), and other etiologies (26.8%). Vitamin K deficiency was a major etiology in 72 of 94 hemorrhagic strokes (76.6%), most of which occurred in breastfeeding infants (80.6%) and those who received no vitamin K after birth (73.6%). Arteriovenous malformation (6.4%) was a frequent etiology in the remaining hemorrhagic stroke cases. We found that ischemic stroke in children is more common than hemorrhagic stroke, and many cases of ischemic stroke are idiopathic. Vitamin K deficiency was a major etiology in these young infants who experienced hemorrhagic stroke.

journal_name

Pediatr Neurol

journal_title

Pediatric neurology

authors

Wang JJ,Shi KL,Li JW,Jiang LQ,Caspi O,Fang F,Xiao J,Jing H,Zou LP

doi

10.1016/j.pediatrneurol.2008.11.002

subject

Has Abstract

pub_date

2009-04-01 00:00:00

pages

277-81

issue

4

eissn

0887-8994

issn

1873-5150

pii

S0887-8994(08)00586-9

journal_volume

40

pub_type

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