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[Stroke in children: experience of the Center for the Treatment of Cerebrovascular Diseases in Children and Adolescents in Moscow]. / Insul't u detei: opyt raboty Tsentra po lecheniyu tserebrovaskulyarnykh zabolevanii u detei i podrostkov Moskvy.
Shchederkina, I O; Livshits, M I; Kessel, A E; Plavunov, N F; Kuznetsova, A A; Khachaturov, Y A; Vitkovskaya, I P; Khasanova, K A; Lim, R T; Sidorov, A M; Tenovskaya, T A; Asalkhanova, S B; Gorev, V V.
Afiliación
  • Shchederkina IO; Morozov Children's City Clinical Hospital, Moscow, Russia.
  • Livshits MI; Moscow Reseach and Clinical Center for Neuropsychiatry, Moscow, Russia.
  • Kessel AE; Morozov Children's City Clinical Hospital, Moscow, Russia.
  • Plavunov NF; Pirogov Russian National Research Medical University, Moscow, Russia.
  • Kuznetsova AA; Morozov Children's City Clinical Hospital, Moscow, Russia.
  • Khachaturov YA; Puchkov First Aid Station, Moscow, Russia.
  • Vitkovskaya IP; Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia.
  • Khasanova KA; Morozov Children's City Clinical Hospital, Moscow, Russia.
  • Lim RT; Moscow Reseach and Clinical Center for Neuropsychiatry, Moscow, Russia.
  • Sidorov AM; Morozov Children's City Clinical Hospital, Moscow, Russia.
  • Tenovskaya TA; Morozov Children's City Clinical Hospital, Moscow, Russia.
  • Asalkhanova SB; Research Institute of Health Care Organization and Medical Management of Moscow Healthcare Department, Moscow, Russia.
  • Gorev VV; Morozov Children's City Clinical Hospital, Moscow, Russia.
Zh Nevrol Psikhiatr Im S S Korsakova ; 123(8. Vyp. 2): 22-31, 2023.
Article en Ru | MEDLINE | ID: mdl-37682092
OBJECTIVE: To analyze the work of the Center for the Treatment of Cerebrovascular Pathology in Children and Adolescents, operating on the basis of the Morozov Children's City Clinical Hospital of the Moscow Health Department for the period 2018-2021 and to assess the peculiarities of organizing the provision of specialized care to children and adolescents with acute cerebrovascular accident (ACA). MATERIAL AND METHODS: Annual reports of the Center for the period 2018-2021; included children and adolescents aged 1 month to 17 years 11 months 29 days, with new onset ischemic stroke (IS) and hemorrhagic stroke (HS), cerebral venous thrombosis (sinus thrombosis), confirmed clinically and radiologically. RESULTS: Statistical data on stroke and organization of care for children with this pathology in Moscow are presented. The incidence of IS in Moscow for the period 2018-2021 ranged from 1.6 to 2.5 per 100.000 children, HI - from 2.35 to 3.3 per 100.000, sinus thrombosis from 0.5 to 1.38 per 100.000. When assessing the main etiological factors of stroke in The Center for International Pediatric Stroke Research categories, we noted a prevalence of chronic head and neck diseases (20-37%) and chronic systemic conditions (conditions or diseases with known changes in coagulation or vascular structure, including connective tissue dysplasia, genetic, hematological, inflammatory or diseases of the immune system) (15-20%). In addition, data on reperfusion therapy carried out at the Center are presented. From 2018 (first thrombolysis was performed) to 2021, 7.3-14.7% of all patients with IS underwent thrombolysis. CONCLUSION: The experience of functioning of the Center for the Treatment of Cerebrovascular Pathology in Children and Adolescents has shown that the creation of such centers in the regions of the Russian Federation is relevant, but requires taking into account the characteristics of the pediatric population when organizing their work.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos Cerebrovasculares / Accidente Cerebrovascular / Accidente Cerebrovascular Isquémico Tipo de estudio: Risk_factors_studies Límite: Adolescent / Child / Humans País/Región como asunto: Asia / Europa Idioma: Ru Revista: Zh Nevrol Psikhiatr Im S S Korsakova Asunto de la revista: NEUROLOGIA / PSIQUIATRIA Año: 2023 Tipo del documento: Article País de afiliación: Rusia Pais de publicación: Rusia
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos Cerebrovasculares / Accidente Cerebrovascular / Accidente Cerebrovascular Isquémico Tipo de estudio: Risk_factors_studies Límite: Adolescent / Child / Humans País/Región como asunto: Asia / Europa Idioma: Ru Revista: Zh Nevrol Psikhiatr Im S S Korsakova Asunto de la revista: NEUROLOGIA / PSIQUIATRIA Año: 2023 Tipo del documento: Article País de afiliación: Rusia Pais de publicación: Rusia