Stroke in children and sickle-cell disease : Baltimore-Washington Cooperative Young Stroke Study.
The Baltimore-Washington Cooperative Young Stroke Study is the largest biracial urban-suburban population-based study to examine the etiology of strokes in children.
We identified all children aged 1 to 14 years discharged from all 46 hospitals in central Maryland and Washington, DC with a diagnosis of ischemic stroke and intracerebral hemorrhage in the years 1988 and 1991.
Each medical record was reviewed by two neurologists for appropriateness of the diagnosis of stroke and for information on the patient's history, clinical presentation, pertinent investigations, hospital stay, and outcome at time of discharge.
Eighteen children with ischemic infarction and 17 with intracerebral hemorrhage were identified.
The most common cause of ischemic stroke was sickle-cell disease (39%), followed by vasculopathic (33%) and indeterminate (28%) causes.
Causes of intracerebral hemorrhages were arteriovenous malformation (29%), hematologic (23%), vasculopathy (18%), surgical complication (12%), coagulopathy (6%), and indeterminate (12%). The overall incidence for childhood stroke was 1.29 per 100,000 per year, with ischemic stroke occurring at a rate of 0.58 per 100,000 and intracerebral hemorrhage occurring at a rate of 0.71 per 100,000.
The incidence of stroke among children with sickle-cell disease was estimated to be 0.28% or 285 per 100,000 per year. (...)
Mots-clés Pascal : Accident cérébrovasculaire, Type, Anémie hématie falciforme, Etats Unis, Amérique du Nord, Amérique, Ramollissement cérébral, Ischémie, Hémorragie, Race, Pronostic, Etiologie, Epidémiologie, Incidence, Enfant, Homme, Nourrisson, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Cérébrovasculaire pathologie, Appareil circulatoire pathologie, Vaisseau sanguin pathologie, Hémopathie, Anémie hémolytique, Hémoglobinopathie, Maladie héréditaire
Mots-clés Pascal anglais : Stroke, Type, Sickle cell anemia, United States, North America, America, Cerebral infarction, Ischemia, Hemorrhage, Race, Prognosis, Etiology, Epidemiology, Incidence, Child, Human, Infant, Nervous system diseases, Central nervous system disease, Cerebral disorder, Cerebrovascular disease, Cardiovascular disease, Vascular disease, Hemopathy, Hemolytic anemia, Hemoglobinopathy, Genetic disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0360675
Code Inist : 002B17C. Création : 25/01/1999.