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НЕВРОЛОГИЧЕСКИЕ СИМПТОМЫ У ДЕТЕЙ С ДЕБЮТОМ ИШЕМИЧЕСКОГО ИНСУЛЬТА В РАННЕМ ВОЗРАСТЕ: ПРОСПЕКТИВНОЕ ИССЛЕДОВАНИЕ
Pediatric ischemic stroke is considered to be a rare condition. Correct recognition of the acute symptoms
and further monitoring of the dynamics of them may allow predicting the child's development and further adaptation. The aim of the study was to provide clinical and imaging features of the acute period of ischemic stroke with debut at an early age, and to assess them by the period of remote consequences. Material and methods. The study was conducted as two steps. At the first step, 90 children who suffered ischemic stroke up to 3 years old had been assessed. The second step, follow– up, the neurological assessment at the age of 6– 9 years (n=60) was performed. Statistical processing: STATISTICA 64 software package. Results. 73.6% of cases was misdiagnosed at the first aid/ER stage. In the acute period the following symptoms prevalence: decreased consciousness 38.1%, paresis/paralysis – 70.9% and seizures – 34.6%. At the age of 6.9±1.5 years, all children walked independently (maximum GMFCS II), the frequency of paresis was 33.89%, neuroorthopedic syndrome was 62.7%. The majority (81.1%) started going to school and coped with the ducation program; 22.4% (n=13) were assigned disability. Conclusions. The clinical features of ischemic stroke at an early age is determined by a combination of paresis, seizures, and impaired level of consciousness, which have further positive dynamics, but remain unfavorable predictors for neurological impairment remotely (OR 2.7– 8.4, p≤0.02).