주산기 뇌경색의 임상적 특징

주산기 뇌경색의 임상적 특징

Clinical characteristics of perinatal stroke

(포스터):
Release Date : 2017. 10. 26(목)
Chul-gyu Ma1, Yoonyoung Yi1, Il Tae Hwang2 , Sung Koo Kim1
Hallym University Dongtan Sacred Heart Hospital Pediatrics1
Hallym University Kangdong Sacred Heart Hospital Pediatrics2
마철규1, 이윤영1, 황일태2 , 김성구1
한림대학교의료원 동탄성심병원 소아청소년과1
한림대학교 강동성심병원 소아청소년과2

Abstract

Objective : Perinatal stroke is a group of heterogenous conditions in which there is focal disruption of cerebral blood flow secondary to arterial or cerebral venous thrombosis or embolization, between 20 weeks of fetal life through to the 28th postnatal day. This study was aimed to investigate the clinical characteristics of perinatal stroke. Results : Total thirteen patients were ascertained from the database of patients in Hallym university Hospital. They were all fullterm and 7 patients were male. Only two patients showed low Apgar score with emergency c-sec surgery. Ten patients showed focal seizure within 3 days after birth. Seven patients showed normal motor development, three patients showed mild motor weakness but showed improvement after rehabilitation, three patients showed persistent motor impairment. One patient have been suffered from Lennox-Gastuat syndrome. Conclusion : Ischemic stroke during perinatal period has the potential for life-long morbidity. Focal neonatal seizure within 3 days after birth might the cause of perinatal stroke. Few patients were associated with risk factors during perinatal periods such as emergent C-sec or low apgar score. Poor outcome in perinatal stroke were not associated with these perinatal risk factors.

Keywords: perinatal stroke, ,