Morales-García D, Garza-Mercado R, Martínez-Ponce de León A, Tamez-Montes D, Alanis-Resendiz P, Villarreal-Reyna G

Language: Spanish
References: 23
Page: 205-210
PDF size: 363.77 Kb.

ABSTRACT

The hemorrhagic stroke in children can be lethal or impose permanent disability. In fact, this pathogenesis corresponds to the 0.9% of total causes of death and ranks among the 4th to 10th causes of infant mortality. In a 19-month period from January 2000 to August 2006, 32 children with hemorrhagic stroke were studied at the Autonomous State University Hospital, Monterrey, Nuevo León, Mexico. There were 19 male and 13 female patients in the series, ranging in age from 3 to 17 years with an average of 12 years. They were all subjected to CT scans of the head and retrograde cerebral arteriography: a cerebral arteriovenous malformation (AVM) was seen in 15 patients (47%), and an intracranial aneurysm in 6 (19%). No angiographic abnormality was recognized in 11 patients (34%), even with repeat angiographies. And although the cause could not be determined in 1 out of 3 patients, anterograde cerebral angiography is declared to be the diagnostic gold standard.

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