新生儿与年长儿童脑卒中临床对照研究

Comparative evaluate of clinical characteristics in neonatal and childhood stroke

目的对新生儿与年长儿童脑卒中患者进行临床特征的对照研究。方法收集新生儿和年长儿童脑卒中共22例,并对其临床特点、影像学资料和预后等方面进行回顾性分析及对照研究。结果①新生儿脑卒中病因主要与窒息缺氧有关,多以抽搐为首发症状;年长儿童脑卒中病因多为感染、外伤、烟雾病等,临床症状主要是肢体活动障碍和抽搐。②新生儿脑卒中预后较好,年长儿童脑卒中多数会遗留肢体活动障碍,甚至认知功能下降。③新生儿与年长儿脑卒中共同特点:均以缺血性脑卒中为主,颅内出血少见。结论新生儿与年长儿童脑卒中在病因、临床症状和预后方面存在一定的差异。

Objective The present study was conducted to evaluate the clinical characteristics in neonatal and childhood stroke.Methods Totally 22 cases of neonates and children with stroke were collected.Clinical features,neuroimages and prognosis were reviewed and controlled.Results①Asphyxia and hypoxia were the most common causes of arterial ischemic strokein neonates,and infection,trauma,moyamoya disease were the main causes in childhood.②The prognosis was better in neonatal stroke than childhood,and most of the childhood stroke probably brought limb movement disorders,or even cognitive function decline.③The common characteristic of neonates and childhood with cerebral apoplexy was mainly ischemic stroke,and intracranial hemorrhage was rare.Conclusion The etiology,clinical characteristics and prognosis were different in neonatal and childhood stroke.