Abstract

ARTECHE DIAZ, Nadia et al. Cerebrovascular disease in patients from 29 days born to 18 years old. Rev Ciencias Médicas [online]. 2012, vol.16, n.6, pp. 35-44. ISSN 1561-3194.

Introduction: cerebrovascular disease, both in adults and children, has constituted a problem of interest to the medical, national and international scientific community during last years. Objective: to characterize cerebrovascular disease in patients from 29 days born to 18 years old. Material and Method: a descriptive and retrospective research was carried out involving patients from the Intensive Care Unit at “Pepe Portilla” Children-teaching Hospital, in Pinar del Rio during July 2005 to June 2011. The sample was comprised of 20 patients from 29 days born to 18 years old. Medical histories were examined and a survey was applied. Results: the highest annual incidence rate was 2,7 per 100 000 inhabitants; and ages from 5 to 14 showed the major incidence (2,2 per 100 000 inhabitants); intracranial hemorrhage (65 %); the evolution of patients was favorable with the appropriate treatment and only five patients died due to cerebrovascular disease (lethality=25 %), along with a patient presenting aneurism of the right carotid who underwent to surgical treatment, having a favourable recovery without neurological sequelae. Conclusions: the treatment of pediatric patients suffering from cerebrovascular disease in Pinar del Rio province requires the application of a program of diagnosis and personalized comprehensive management allowing a favourable progress to improve patients’ quality of life.

Keywords : Stroke [complications]; Stroke [diagnosis]; Stroke [mortality]; Intracranial hemorrhages [complications].

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