Acidente vascular cerebral na pediatria: análise da incidência, fatores de risco e manejo em hospital terciário de Curitiba

• Autor(a) principal: Miqueletto, Augustus
• Data de Publicação: 2021
• Outros Autores: Miotto, Camila, Moretti, Fernanda Christine, Saraiva, Laura de Camargo, Balena, Rodrigo Fanini
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Repositório do Centro Universitário Braz Cubas
• Texto Completo: https://repositorio.cruzeirodosul.edu.br/handle/123456789/3691
• topic: Acidente vascular cerebral pediátrico; Acidente vascular cerebral; Incidência; CNPQ::CIENCIAS DA SAUDE::MEDICINA

Introduction: Stroke is a comorbidity that can occur at any stage of life, including in the pediatric population, being the most common risk factors for the development of this event vascular diseases and cardiac causes. The clinic is imprecise and the diagnosis is often made lately, resulting in great morbidity and mortality for these patients. Objective: To evaluate the incidence of pediatric stroke in a reference center in Curitiba-PR, as well as evaluating the main risk factors for the event, the management and the evolution of these patients. Method: A retrospective study was made at Associação Hospitalar de Proteção à Infância Dr. Raul Carneiro – Hospital Pequeno Príncipe – through the analysis of medical records of patients who were hospitalized and diagnosed with stroke in the hospital between the period of January 1, 2015 to December 31, 2019. Data collection was made between May to August 2021. These medical records were reviewed, assessing gender, age at which the stroke occurred, medications used during the event, underlying comorbidities, type of stroke, image exam reported, management adopted and the evolution of these patients. Results: A total of 42 patients diagnosed with stroke were found, with the median age at diagnosis of 6 years. Half were male and half were female. There was a preponderance of ischemic stroke, corresponding to 95% of the cases and it was managed with ASA in 47,5% of time. The most common comorbidities found in those patients were heart diseases and cardiac surgery, and 20 patients had any kind of sequel after the event. Conclusion: This is a rare event in the pediatric population, registering 42 cases over a 5-year period in our service. There was a preponderance of ischemic events and the main etiologies were idiopathic, cardiac disease and cardiac surgery prior to the event. Therapeutic management is based on expert opinion and is individual to each service and did not show any change in outcomes in this study. More studies on the subject are needed to correlate risk factors and the management of these patients.