Clinical and diagnostic predictors of perinatal arterial ischemic stroke in children

• Lyubov’ V. Ushakova
• Yuliya K. Bykova
• Vladimir G. Bychenko
• Elena A. Filippova
• Strutynskaya A.D.

AbstractStroke in children is surprisingly common, so the question about diagnostics of perinatal arterial ischemic stroke remains relevant. The difficulties of its diagnosis are determined by the presence in the newborn of a large number of pathological conditions that can be realized by acute cerebral ischemia. Our research shows that the most frequent localization of ischemic damage is cortical-subcortical area of the left middle cerebral artery. If there is an appropriate anamnesis, manifestation of seizures, hemiparesis, oppression syndrome, MRI with MR angiography in standard modes is recommended. Sonography can be used as supporting method of investigation. After diagnosing PAIS dynamic control of parenchyma state and blood velocity in cerebral arteries should be managed daily in first 5 days and then every 5-7 days. MRI should be carried out in 14 days after diagnosing PAIS for assessment consequences.

Keywords:arterial ischemic stroke, newborn, magnetic resonance imaging, ultrasonic Doppler examination

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