RESUMO
Perinatal arterial stroke is a significant cause of neurological deficit, including mental retardation, delayed motor development, epilepsy, and severe cognitive impairment. Most strokes occur in term neonates, due to thromboembolism from an intracranial or extracranial vessel associated with a risk factor such as asphyxia at birth and heart, hematological or infectious diseases. An association with instrumental delivery has not been clearly demonstrated, although several cases have been described in the literature. The incidence of stroke in the perinatal period is estimated to be 1/4000 term neonates per year. We describe three new cases of stroke in term neonates with instrumental delivery and describe the etiopathogenesis, diagnosis and outcome of this entity.
Assuntos
Traumatismos do Nascimento/complicações , Acidente Vascular Cerebral/etiologia , Encéfalo/patologia , Parto Obstétrico/efeitos adversos , Humanos , Recém-Nascido , Imageamento por Ressonância Magnética , Masculino , Forceps Obstétrico/efeitos adversos , Acidente Vascular Cerebral/diagnósticoRESUMO
El infarto arterial perinatal representa una importante causa de déficit neurológicos que incluyen retraso mental, del desarrollo motor, epilepsia y defectos cognitivos graves. La mayoría de los infartos ocurren en recién nacidos a término, por un tromboembolismo desde un vaso intracraneal o extracraneal asociado a un factor de riesgo tal como asfixia al nacimiento, enfermedades cardíacas, hematológicas o infecciosas. La asociación con el parto instrumental no ha sido claramente demostrada, aunque existen casos descritos en la literatura especializada. La incidencia en el período perinatal se estima en uno de cada 4.000 recién nacidos a término y año. Se describen tres nuevos casos en recién nacidos a término con antecedentes de parto instrumental y se revisa la etiopatogenia, el diagnóstico y la evolución de esta entidad
Perinatal arterial stroke is a significant cause of neurological deficit, including mental retardation, delayed motor development, epilepsy, and severe cognitive impairment. Most strokes occur in term neonates, due to thromboembolism from an intracranial or extracranial vessel associated with a risk factor such as asphyxia at birth and heart, hematological or infectious diseases. An association with instrumental delivery has not been clearly demonstrated, although several cases have been described in the literature. The incidence of stroke in the perinatal period is estimated to be 1/4000 term neonates per year. We describe three new cases of stroke in term neonates with instrumental delivery and describe the etiopathogenesis, diagnosis and outcome of this entity