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BMC Neurol ; 21(1): 84, 2021 Feb 20.
Artigo em Inglês | MEDLINE | ID: mdl-33610173

RESUMO

BACKGROUND: Stroke in children easily causes long-term dysfunction. Whether the prognoses of motor and anxiety disorders are related to the affected stroke area has not been reported. METHODS: One hundred nine cases of children with ischaemic stroke were reviewed and divided into three groups: lenticular nucleus lesions only (lenticular nucleus group), lenticular nucleus and caudate head lesions (caudate head group), and lenticular nucleus and thalamus lesions (thalamus group). Overall prognosis was evaluated by the mRS score. The SCAS-P was used to evaluate anxiety in children aged ≥6 years. RESULTS: mRS scores were ≤ 2 points (mean: 0.62), no significant difference among groups. 3/21 (14.2%) patients in the caudate head group changed handedness, which is significantly higher than other groups. Patients with lesions in thalamus group had significantly higher SCAS-P scores. CONCLUSIONS: The overall prognosis of children with basal ganglia ischaemic stroke is good. However, hand preference changes and anxiety disorders may develop. Patients in the caudate head groups are more likely to suffer from fine motor disorders and changes in handedness. Patients within the thalamus group are more prone to anxiety than patients in the other groups. Anxiety disorders should be noted in children with basal ganglia stroke.


Assuntos
Transtornos de Ansiedade/fisiopatologia , Doença Cerebrovascular dos Gânglios da Base/fisiopatologia , Núcleo Caudado , Corpo Estriado , Lateralidade Funcional , AVC Isquêmico/fisiopatologia , Destreza Motora/fisiologia , Tálamo , Adolescente , Gânglios da Base , Doença Cerebrovascular dos Gânglios da Base/diagnóstico por imagem , Doença Cerebrovascular dos Gânglios da Base/psicologia , Criança , Pré-Escolar , Feminino , Seguimentos , Humanos , Lactente , AVC Isquêmico/diagnóstico por imagem , AVC Isquêmico/psicologia , Angiografia por Ressonância Magnética , Imageamento por Ressonância Magnética , Masculino , Estudos Retrospectivos , Acidente Vascular Cerebral/fisiopatologia , Tomografia Computadorizada por Raios X
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