Clinical Profile, Etiology, and Outcome of Pediatric Patients with Stroke: A Tertiary Care Hospital-based Study

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dc.contributor.authorSharma, Sen_US
dc.contributor.authorParihar, Aen_US
dc.contributor.authorKatoch, GSen_US
dc.contributor.authorWani, KA.en_US
dc.date.accessioned2025-05-12T08:15:07Z
dc.date.available2025-05-12T08:15:07Z
dc.date.issued2024-11
dc.description.abstractIntroduction: Stroke constitutes a significant health problem in pediatric population. The reported incidence of childhood stroke has risen to 2–6 per 100,000 children per year in the past 10 years. The estimates from North America report an incidence of 2.5–2.7 cases per 100,000 children per year, while in France, the incidence is reported to be 13 cases per 100,000 children per year. There is no population-based published data about the incidence or prevalence of pediatric stroke in India. Objective: The objective is to study the clinical profile, etiology, and outcome of pediatric patients with stroke admitted to our hospital. Material and Methods: This was a prospective observational, single-center study designed to study the clinical profile, etiology, and outcome of pediatric stroke patients in Kashmir conducted in the Postgraduate Department of Pediatrics, GMC Srinagar. All children aged 6 months to 18 years of age were included in the study. Children aged <6 months or >18 years and children with a history of head injury were excluded from the study. All included children were evaluated clinically and necessary investigations were done after taking proper informed consent. The present study was conducted over 1 year. On examination, general physical examination and neurological examination were done. The presence of edema, jaundice, cyanosis, lymphadenopathy, petechial hemorrhage, purpura, bruit, cardiac findings, and hepatosplenomegaly was noted. Admission vital parameters (heart rate, blood pressure, and respiratory rate), consciousness as assessed by the Glasgow Coma Scale (GCS), and focal neurological deficit (monoplegia, hemiplegia, quadriplegia, aphasia, visual field defect, cranial nerve palsy, and sensory abnormalities) were noted. Neuroimaging (either CT or MRI) of the brain was performed for each patient. The location and arterial territory of infarction were noted. Results: It was a prospective hospital-based observational study conducted over a period of 1 year. A total of 38 patients were enrolled in the study. There were 21 males and 17 females in our study. The mean age of presentation in our study was 6.43 years. Majority of patients in our study were in the age group of 6 months–4 years (50%). Seizures (focal + generalized) were the most common presenting feature in our study. Consciousness was impaired in most patients in our study. The most common infectious cause of stroke was meningoencephalitis followed by neurotuberculosis. Hemiparesis was the most common neurological deficit. MCA was the most common territory involved on arterial ischemic stroke. The most common type of stroke was found to be arterial ischemic stroke. Conclusion: The current study has provided valuable information into the pediatric strokes clinical profile, etiology, and outcome. This study further strengthens the observation that AIS is the most common type of stroke in children at all ages, followed by CSVT and hemorrhagic variety. The study further confirms that MCA is the most common territory involved. Thereby, the presentation of stroke more or less is same in different parts of the world. However, there is a difference in etiology which may be due to underlying genetic and environmental factors. Survivors have high morbidity and moderate-to-severe neurologic deficits are common.en_US
dc.identifier.affiliationsJunior Residents, Department of Pediatrics, Government Medical College, Srinagar, Jammu and Kashmir, Indiaen_US
dc.identifier.affiliationsJunior Residents, Department of Pediatrics, Government Medical College, Srinagar, Jammu and Kashmir, Indiaen_US
dc.identifier.affiliationsJunior Residents, Department of Pediatrics, Government Medical College, Srinagar, Jammu and Kashmir, Indiaen_US
dc.identifier.affiliationsProfessor, Department of Pediatrics, Government Medical College, Srinagar, Jammu and Kashmir, Indiaen_US
dc.identifier.citationSharma S, Parihar A, Katoch GS, Wani KA. . Clinical Profile, Etiology, and Outcome of Pediatric Patients with Stroke: A Tertiary Care Hospital-based Study. International Journal of Scientific Study. 2024 Nov; 12(8): 21-26en_US
dc.identifier.issn2321-6379
dc.identifier.issn2321-595X
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/246951
dc.languageenen_US
dc.publisherInternational Research Organization for Life & Health Sciencesen_US
dc.relation.issuenumber8en_US
dc.relation.volume12en_US
dc.source.urihttps://www.ijss-sn.com/uploads/2/0/1/5/20153321/ijss_nov_24_oa02_-_2024.pdfen_US
dc.subjectStrokeen_US
dc.subjectEtiologyen_US
dc.subjectMoyamoyaen_US
dc.subjectEmbolismen_US
dc.subjectNeurotuberculosisen_US
dc.subjectHemiparesisen_US
dc.titleClinical Profile, Etiology, and Outcome of Pediatric Patients with Stroke: A Tertiary Care Hospital-based Studyen_US
dc.typeJournal Articleen_US
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