Ischemic stroke in children with critical illness: a poor prognostic sign.
A consecutive case series of 55 children (0-17 years old) with arterial ischemic stroke is reported. Twenty of these children were critically ill at the time their stroke occurred. Mortality among these 20 children was 40%, compared with 3% in non-critically ill children with arterial ischemic stroke; overall mortality in this case series was 16%. Mortality resulted primarily from the underlying illness. Prognosis after stroke is markedly worsened in children with premorbid critical illness.
Jordan
Lori C
LC
Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA. ljordan2@jhmi.edu <ljordan2@jhmi.edu>
van Beek
Jackelien G M
JG
Gottesman
Rebecca F
RF
Kossoff
Eric H
EH
Johnston
Michael V
MV
D000293:Adolescent; D002545:Brain Ischemia / Q000401:mortality*; D002423:Cause of Death; D002648:Child; D002675:Child, Preschool; D016638:Critical Illness / Q000401:mortality*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011379:Prognosis; D012307:Risk Factors; D020521:Stroke / Q000401:mortality*