ETIOLOGY OF STROKES AND HEMIPLEGIA IN CHILDREN PRESENTING AT AYUB TEACHING HOSPITAL, ABBOTTABAD

Authors

  • Tahir Saeed Siddiqui
  • Anis ur Rehman
  • Basharat Ahmed

Abstract

Background: Strokes in pediatric age group are not common. However diagnosing the cause ofstroke will help in providing preventive and curative treatment. Present study was conducted tofind etiology of strokes/hemiplegia in children. Methods: This study was conducted inDepartment of Pediatrics, Ayub Teaching Hospital Abbottabad from December 2002 to December2005.All children from two months to fifteen years of age were included in the study. Childrenwith weakness due to acute poliomyelitis and Guillan barre syndrome were excluded.Investigations were based on findings on history and clinical examination and included full bloodcount, PT, APTT, Platelets count, ECG, Echocardiography, hematocrit, lumber puncture with CSFanalysis and culture and CT-scan skull. Data of all the patients presenting with strokes/hemiplegiawas entered on prepared proforma. Results: The main etiology of strokes was intracranialinfection causing strokes in 23(56.09%)children and majority of children (78.26%) in this groupwere below five years. Etiology was un-known in 7(17.07%) children after necessary availableinvestigations. Conclusions: Intracranial infection Infections that is meningitis and encephalitisare commonest etiology of strokes and hemiplegia in paediatrics patients presenting at AyubTeaching Hospital, Abbottabad.Key words: Cerebrovascular Accident, Children, Hemiplegia, Intracranial infections

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