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After pediatric stroke, it’s time to enable!

2021-09Journal article Open access
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dc.contributor.authorJorge, Ines Santos
dc.contributor.authorVouga, Luis Afonso
dc.contributor.authorCastro, João Paulo
dc.contributor.authorAmorim, Rosa
dc.contributor.authorPalhau, Lurdes
dc.date.accessioned2021-10-14T09:44:11Z
dc.date.available2021-10-14T09:44:11Z
dc.date.issued2021-09
dc.description.abstractIntroduction: Although rare, pediatric stroke is more common than one may think. Deficits may not be evident in the short term but emerge months or years later, when psychomotor development, educational, and social requirements increase. Aims: To characterize the pediatric population with stroke followed at the Physical and Rehabilitation Medicine (PRM) consultation in a tertiary center and compare it with data in the literature and review the evidence on pediatric stroke rehabilitation care. Material and Methods: This was a retrospective study focusing on the first observation of stroke patients followed at a pediatric PRM consultation over 12 months. Gender, age, type of stroke, vascular territory, risk factors, functionality, event recurrence, and mortality were assessed. A bibliographic search was conducted on PubMed and Medline using the keywords ‘stroke’, ‘pediatric’, ‘perinatal’, ‘neuroplasticity’, ‘functionality’, and ‘rehabilitation’. Inclusion criteria comprised meta-analysis, systematic review, and review type of studies, written in Portuguese and English languages, and focusing human studies. Results: The study included 42 patients, 25 of whom were male (60%). Perinatal stroke was reported in 33 patients (13 in the prenatal period and 20 up to 28 days of life). Ischemic stroke was reported in 35 cases (83%), with the middle cerebral artery being the most affected vascular territory in 29 cases (69%). Fifty percent of patients had known risk factors, specifically prematurity in 21%. Fifty to 75% of patients had high functionality levels. No stroke recurrence or deaths were reported during the study period. Rehabilitation care should be implemented as soon as possible. Evidence-based guidance is still lacking for this population. Conclusions: Stroke, although uncommon in the pediatric population, is a major cause of morbidity and mortality. Diagnosis is challenging, as symptoms are often subtle and mimic other more frequent diseases in this age group. Timely referral to the physiatrist allows integration of the child into a rehabilitation program, optimizing neuroplasticity and improving participation in several activities.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationSantos-Jorge I, Vouga LA, Castro JP, Amorim R, Palhau L, Nascer e Crescer - Birth and Growth Medical Journal 2021;30(3): 152-158. doi:10.25753/BirthGrowthMJ.v30.i3.17949pt_PT
dc.identifier.doi10.25753/BirthGrowthMJ.v30.i3.17949pt_PT
dc.identifier.issn2183-9417
dc.identifier.urihttp://hdl.handle.net/10400.16/2512
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherCentro Hospitalar Universitário do Portopt_PT
dc.relation.publisherversionhttps://revistas.rcaap.pt/nascercrescer/article/view/17949pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectfunctionalitypt_PT
dc.subjectneuroplasticitypt_PT
dc.subjectpediatricpt_PT
dc.subjectperinatalpt_PT
dc.subjectrehabilitationpt_PT
dc.subjectstrokept_PT
dc.titleAfter pediatric stroke, it’s time to enable!pt_PT
dc.title.alternativeApós o AVC em idade pediátrica, é hora de habilitar!pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlacePorto, Portugalpt_PT
oaire.citation.endPage158pt_PT
oaire.citation.issue3pt_PT
oaire.citation.startPage152pt_PT
oaire.citation.titleNascer e Crescer - Birth and Growth Medical Journalpt_PT
oaire.citation.volume30pt_PT
person.familyNameSantos Jorge
person.familyNameVouga
person.familyNameCastro
person.givenNameInes
person.givenNameLuis Afonso
person.givenNameJoão Paulo
person.identifier.ciencia-id2B1C-00A5-8165
person.identifier.orcid0000-0002-6903-989X
person.identifier.orcid0000-0002-6018-3027
person.identifier.orcid0000-0002-0713-4701
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication970d4e2e-c9c0-44e5-a81a-624893162046
relation.isAuthorOfPublication669a1c73-3802-43a8-8b81-6fe2e679c648
relation.isAuthorOfPublicationd707a388-015d-4940-bdd2-5c980cae896f
relation.isAuthorOfPublication.latestForDiscovery970d4e2e-c9c0-44e5-a81a-624893162046

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