Cerebral Infarctions in New-borns and Infants: Early Detection of Risk Factors,
and Sequelae in Neuroevolutionary Development
Rufo Campos Miguel1*, Rufo Muñoz Miguel2 and Rufo Tejeiro Olga3
1Head of the Child Neurology Service. Instituto Hispalense de Pediatría, Seville
2Andalusian Emergency Service, San Isidoro University Center, Seville
3Intensive Care Unit, Virgen del Rocío University Hospital, Seville
*Corresponding Author: Rufo Campos Miguel, Head of the Child Neurology
Service. Instituto Hispalense de Pediatría, Seville.
March 01, 2022; Published: March 11, 2022
Despite the importance of neonatal infarctions, there are very few relative data in our country, both on their frequency, mortality, major risk factors, as well as their important sequelae. In addition, both its pathophysiology and the associated risk factors are not yet clearly understood and defined. Therefore, we tried to establish the percentages of risk, mortality and sequelae of all neonatal strokes that occurred in a large third-level hospital, especially the risk factors that produce it, to try to predict their recurrence.
During a period of 4 years, 53 cases have been collected in which the existence of a recent ischemic-hemorrhagic infarction that occurred during the perinatal period has been demonstrated by neuroimaging a study, making a cut at 30 months of age. Half of the cases were diagnosed within the first month of birth.
The predominance was male and the distribution of cerebral ischemic injury was predominantly of the medial cerebral artery and most often in the left cerebral hemisphere Risk factors were primiparity, fetal death, neonatal sepsis, asphyxia, twin pregnancy, placental abruption, emergency caesarean section, Apgar score ≤7 after 5 min, breech presentation and hyperbilirubinemia. The guiding sign to start the etiological search was the existence of a motor deficit and the presence of epileptic seizures. In much lower proportions psychomotor retardation.
Keywords: Cerebral; Risk Factors; Neuroevolutionary; Sequelae
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