Issue №3-85, 2018

Transient Cerebral Arteriopathy in Children and Adolescents, Features of Clinical Manifestations and Course

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1 Kessel A.Е., 1 Shchederkina I.О., 1,2 Koltunov I.E., 1 Drozdova I.М., 3 Guzeva V.I.

1 Morozov Сhild City Hospital, Center for treatment of cerebrovascular disease in children and adolescents
2 Russian University of Friendship of Peoples, Russia
3 «Saint Petersburg State Pediatric Medical University» Ministry of Health of Russia


ABSTRACT

The problem of a paediatric stroke has become relevant in recent decades. More than 50% of children with ischemicstroke are diagnosed with arteriopathy. The article presents observation of 61 patients with a confirmed diagnosis of arterialAI who underwent inpatient treatment at the Morozov City Child Clinic for the period from 2013 to 2018. 37 of them wereboys, the average age of children was 7.8 years. The follow-up period was 16 months to 5 years (an average of 2.6 years). In35 children from 61, according to neuroimaging, in the acute period, signs of arteriopathy were revealed. Of these, 24/31revealed signs of unilateral focal stenosis of the cerebral arteries that did not correspond to the clinical and radiological pictureof other types of arteriopathies, which were regarded in the framework of the focal cerebral arteriopathy. The analysisof clinical, laboratory and neuroimaging characteristics in groups of children with transient cerebral arteriopathy (TCAs) andwithout it was carried out. Progression of the neurological deficit and a less favorable outcome in children in the TCA groupwas noted. The need to isolate patients with arteriopathy is noted, which determines the tactics of dynamic observation andtreatment.


KEYWORDS: ischemic stroke, arteriopathy, stenosis of cerebral arteries



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