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Research ArticleOriginal Article
Open Access

Outcome of stroke in Saudi children

Mustafa A. Salih, AbdelGalil M. Abdel-Gader, Ahmed A. Al-Jarallah, Amal Y. Kentab and Mohammed N. Al-Nasser
Saudi Medical Journal March 2006, 27 (3 Supplement) S91-S96;
Mustafa A. Salih
Division of Pediatric Neurology, Department of Pediatrics, College of Medicine, PO Box 2925, Riyadh 11461, Kingdom of Saudi Arabia. Fax. +966 (1) 4679463. E-mail: [email protected]
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  • For correspondence: [email protected]
AbdelGalil M. Abdel-Gader
Department of Physiology, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.
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Ahmed A. Al-Jarallah
Division of Pediatric Neurology, Department of Pediatrics,College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.
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Amal Y. Kentab
Division of Pediatric Neurology, Department of Pediatrics,College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.
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Mohammed N. Al-Nasser
Division of Pediatric Neurology, Department of Pediatrics,College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.
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Abstract

OBJECTIVE: To report on the prognosis, neurologic outcome, and recurrences of stroke in Saudi children.

METHODS: We evaluated a cohort of 104 Saudi children with stroke at the Division of Pediatric Neurology at King Khalid University Hospital, College of Medicine, King Saud University, Riyadh, Saudi Arabia from July 1992 to February 2001 (retrospective study) and February 2001 to March 2003 (prospective study). We analyzed the salient clinical, neuroimaging, neurophysiological, neuropsychological and laboratory data following retrieval from a specialty designed comprehensive protocol.

RESULTS: Of the 104 children in the cohort (aged one month to 12 years), 5 (4.8%) died during the study period and 9 (8.7%) were lost to follow-up. The mean duration of follow-up for the remaining 90 children was 40 months (median 33 months). Recovery was judged complete in 6 (6.7%) of these 90 children. We detected residual hemiparesis (irrespective of its effect on daily functions) in 73 (81%) and this was combined with other motor deficits in 45 children (50%). Forty-one children (46%) had residual dysphasia or language deficits, whereas 45 (50%) were judged to have had cognitive deficit. Psychometry revealed an abnormal intelligence quotient test (<70) in 19 of 26 (73%) children. Other neurologic sequelae included epilepsy in 52 (58%), recurrent headaches in 13 (14%) and hydrocephalus in 4 (4.4%) patients. Six of the 95 (6.3%) children, who were ascertained to have died or kept their follow-up, had one or more recurrences, one month to 5 years after the initial stroke (median 23 months). Patients who had recurrent strokes were significantly more likely to be the product of consanguineous marriages (p=0.04). Regarding the group of 23 children with perinatal stroke, neither deaths nor recurrences occurred during the follow-up period. However, 20 (87%) of them had significant delays in their developmental milestones.

CONCLUSION: The toll of stroke in Saudi children is demanding, with most children demonstrating persistent neurologic or cognitive deficits. Primary prevention for recurrences is feasible through informed genetic counseling.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial License (CC BY-NC), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 27 (3 Supplement)
Saudi Medical Journal
Vol. 27, Issue 3 Supplement
1 Mar 2006
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Outcome of stroke in Saudi children
Mustafa A. Salih, AbdelGalil M. Abdel-Gader, Ahmed A. Al-Jarallah, Amal Y. Kentab, Mohammed N. Al-Nasser
Saudi Medical Journal Mar 2006, 27 (3 Supplement) S91-S96;

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Outcome of stroke in Saudi children
Mustafa A. Salih, AbdelGalil M. Abdel-Gader, Ahmed A. Al-Jarallah, Amal Y. Kentab, Mohammed N. Al-Nasser
Saudi Medical Journal Mar 2006, 27 (3 Supplement) S91-S96;
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© 2023 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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