Perinatal arterial ischaemic stroke: an update with literature review.
Perinatal arterial ischaemic strokes are a major cause of morbidity in the neonatal period and leads to significant neurological morbidity. It is however under recognized as an entity and usually missed till the baby is 3-4 months of age when they first present with hemiplegia. Perinatal arterial ischaemic strokes are not reported from our country and this may be due to the fact that neurodiagnostic modalities were not available until the last few years. Even now this is not available in the smaller cities of our country. In this review we will discuss the common issues related to etiology and pathogenesis in perinatal arterial ischaemic stroke. The management and the prognosis are also reviewed especially discussing the factors that affect the long term prognosis.
Ibrahim
Shahnaz Hamid
SH
Department of Pediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
Hamid
Ibrahim Shahnaz
IS
Mueed
Zafar Abdul
ZA
D002545:Brain Ischemia / Q000175:diagnosis / Q000209:etiology; D002539:Cerebral Arterial Diseases / Q000175:diagnosis / Q000209:etiology; D042241:Early Diagnosis; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D011248:Pregnancy Complications; D011379:Prognosis; D012307:Risk Factors; D020521:Stroke / Q000175:diagnosis / Q000209:etiology