Stroke in patients with sickle cell disease: clinical and neurological aspects.
The aim of this study was to characterize a group of patients (n=8) with sickle cell disease (SCD) and ischemic stroke concerning the clinical, neurological, imaging and progressive aspects. Data were collected from records and completed with an interview of patients and their parents. In this study there were 8 patients with ages ranging from 10 to 23 years old; SCD diagnosis was given between one and two years of age with clinical features of fatigue and anemia. The stroke was ischemic in all individuals and the first cerebrovascular event occurred before 6 years of age; 3 patients had recurrence of stroke despite prophylactic blood transfusion therapy and both cerebral hemispheres were affected in 4 patients. Clinical and neurological current features observed were: acute pain crises, sialorrhea, mouth breathing, motor, and neuropsychological impairments resulting from cortical-subcortical structure lesions.
Oliveira
Carolina Camargo de
CC
Departamento de Neurologia, Faculdade de Ciências Médicas, Universidade Estadual da Campinas, Campinas, SP, Brasil. ccamargoofisio@yahoo.com.br
Ciasca
Sylvia Maria
SM
Moura-Ribeiro
M Valeriana L
MV
D000293:Adolescent; D000328:Adult; D000755:Anemia, Sickle Cell / Q000150:complications* / Q000628:therapy; D001803:Blood Transfusion; D002648:Child; D003676:Deferoxamine / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D009483:Neuropsychological Tests; D017262:Siderophores / Q000627:therapeutic use; D020521:Stroke / Q000209:etiology* / Q000628:therapy
D017262:Siderophores; D003676:Deferoxamine