Cerebrovascular disease in children under 16 years of age in the City of Dijon, France : a study of incidence and clinical features from 1985 to 1993.
The survey was carried out on the population of the City of Dijon (150,000 inhabitants) from January 1,1985 to December 31,1993, collecting prospectively both in adulthood and in childhood (23,877 resident children).
Diagnosis of stroke was established on the basis of clinical features and the mechanism was identified by CT scan from 1985 to 1987, and by CT scan and magnetic resonance imaging from 1987 to 1993.
When a hemorrhagic stroke was identified, a cerebral arteriogram and an investigation of the coagulation factors were performed.
During the 9 full calendar years of this study we observed 28 stroke patients from a population of 23,877 resident children.
There were 17 cases of ischemic stroke, representing some 61% percent of the total, as well as 11 cases of hemorrhagic stroke, 39% percent of the total.
The average annual incidence rate was 13.02/100,000 for all strokes, 7.91/100,000 for ischemic strokes, and 5.11/100,000 for hemorrhagic strokes.
Of the 17 cases with ischemic stroke, 2 had no known predisposing condition, 3 occurred in children witn preexisting heart disease, and 12 were observed in patients with other associated conditions such as infections or slight cranial trauma.
On CT scan, a basal ganglia infarction was identified in eight cases.
Among the 11 hemorrhagic strokes, 9 were due to vascular malformations.
Clinical course was marked by a higher mortality rate in hemorrhagic stroke, no long-lasting seizures, and hemidystonia.
Mots-clés Pascal : Accident cérébrovasculaire, Enfant, Homme, Epidémiologie, Incidence, France, Europe, Ischémie, Hémorragie, Etiologie, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Cérébrovasculaire pathologie, Appareil circulatoire pathologie, Vaisseau sanguin pathologie, Dijon
Mots-clés Pascal anglais : Stroke, Child, Human, Epidemiology, Incidence, France, Europe, Ischemia, Hemorrhage, Etiology, Nervous system diseases, Central nervous system disease, Cerebral disorder, Cerebrovascular disease, Cardiovascular disease, Vascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0025346
Code Inist : 002B17C. Création : 01/03/1996.