Perinatal arterial ischemic stroke related to carotid artery occlusion.

Détails

ID Serval
serval:BIB_C47D60FAA4EB
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Perinatal arterial ischemic stroke related to carotid artery occlusion.
Périodique
European Journal of Paediatric Neurology : Ejpn : Official Journal of the European Paediatric Neurology Society
Auteur(s)
Fluss J., Garcia-Tarodo S., Granier M., Villega F., Ferey S., Husson B., Kossorotoff M., Muehlethaler V., Lebon S., Chabrier S.
ISSN
1532-2130 (Electronic)
ISSN-L
1090-3798
Statut éditorial
Publié
Date de publication
2016
Peer-reviewed
Oui
Volume
20
Numéro
4
Pages
639-648
Langue
anglais
Notes
Publication types: Journal ArticlePublication Status: ppublish
Résumé
BACKGROUND: The aetiology of perinatal arterial ischemic stroke remains speculative. It is however widely accepted that the aetiology is multifactorial, involving various maternal, placental, foetal and neonatal risk factors. A resulting thromboembolic process is hypothesized and the placenta identified as the most plausible source. An arteriopathy, as observed in a significant proportion of childhood ischemic stroke, is thought to be rare.
METHODS: We report here five cases of perinatal stroke that differ from the vast majority by documented carotid occlusion, and add eleven other similar cases from the literature.
RESULTS: In the majority, an intraluminal thrombus of placental origin is the most probable hypothesis, while in the remaining ones, one can reasonably presume a direct vessel wall injury related to a traumatic delivery, yet generally unproven by imaging.
CONCLUSION: We hypothesize that most of these cases share similar pathophysiology with the more common perinatal arterial ischemic stroke but differ by a persistent identified thrombus in the carotid artery at the time of first imaging, leading to a more severe and extended ischemic damage responsible for an adverse neurological outcome.
Pubmed
Web of science
Création de la notice
09/04/2016 16:08
Dernière modification de la notice
03/03/2018 21:13
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