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Journal of Child Neurology, Vol. 1, No. 2, 131-136 (1986)
DOI: 10.1177/088307388600100207

Ischemic Strokes in Children

Anne Dusser, MD

Clinique de Génétique Médicale and Institut National de la Santé et de la Recherche Médicale, Hôpital Necker-Enfants Malades, Paris, France

Françoise Goutières, MD

Clinique de Génétique Médicale and Institut National de la Santé et de la Recherche Médicale, Hôpital Necker-Enfants Malades, Paris, France

Jean Aicardi, MD

Clinique de Génétique Médicale and Institut National de la Santé et de la Recherche Médicale, Hôpital Necker-Enfants Malades, Paris, France

Of 44 infants and children (neonates excluded) with ischemic strokes of arterial origin documented by CT scan and/or cerebral angiography, idiopathic strokes, occurring in 22 cases, accounted for half the total. Eight of these patients had basal ganglia and/or capsular infarcts without cortical involvement. The outcome in the idiopathic group was favorable: after an average follow-up duration of 48 months, no child had recurrence, two children developed secondary epilepsy, and only two were severely mentally retarded. However, residual dystonia and dyskinesia constituted an incapacitating handicap, having been observed in 14 children of the idiopathic group and in 18 of the whole series. It may be concluded from the present study that the long-term prognosis of ischemic strokes in children is excellent except for the risk of secondary evolutive dystonia in the absence of any detectable cause. (J Child Neurol 1986;1:131-136)


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