20. Clinical and imaging features of ischemic stroke in children at the National Children's Hospital
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Abstract
The objective of the study was to describe the clinical features and craniocerebral imaging features of ischemic stroke in children. The study involved 123 children with ischemic stroke at the National Children's Hospital from January 2018 to May 2023. The data showed that the male/female ratio is 1.67/1. The most common age group for pediatric ischemic stroke was from 2months to 2-years old. The most common onset symptom was hemiparesis (59.3%). Seizures were more common in children under 2-years-old while headaches were more prevalent in the 6-to-11-years-old. Most patients had Glasgow scores above 13 points (80.5%). 64.2% of patients were diagnosed after 24 hours of onset. MRI is more effective than CT in the initial diagnosis of ischemic stroke. Diffusion weighted imaging on MRI had a sensitivity of 97.4% in the diagnosis of ischemic stroke. In summary, MRI should be considered as the initial imaging modality in suspected ischemic stroke to prevent delay in the diagnosis.
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Keywords
Stroke, pediatric, ischemic stroke in children, brain MRI
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