American Journal of Psychiatry and Neuroscience
Volume 3, Issue 5-1, October 2015, Pages: 22-24
Received: May 8, 2015;
Accepted: Sep. 2, 2015;
Published: Oct. 16, 2015
Views 4399 Downloads 97
Gaston Ekouya Bowassa, Faculty of Health Sciences, Marien NGOUABI University, Brazzaville, Congo; Unit of Neonatology, University Hospital of Brazzaville, Brazzaville, Congo
Paul Macaire Ossou-Nguiet, Faculty of Health Sciences, Marien NGOUABI University, Brazzaville, Congo
Aymar Pierre Gildas Oko, Faculty of Health Sciences, Marien NGOUABI University, Brazzaville, Congo
Annie Rachel Okoko, Faculty of Health Sciences, Marien NGOUABI University, Brazzaville, Congo
Engoba Moyen, Faculty of Health Sciences, Marien NGOUABI University, Brazzaville, Congo
Nelly Yvette Ngakegni, Unit of Neonatology, University Hospital of Brazzaville, Brazzaville, Congo
Georges Marius Moyen, Faculty of Health Sciences, Marien NGOUABI University, Brazzaville, Congo
Neonatal strokes are defined by the occurrence of any cerebrovascular event between the 20th week of gestation and 28th day after birth. It is an uncommon disease whose incidence varies according to the authors. The localized seizures are the main symptoms. But nonspecific symptoms like bradycardia, bradypnea and poor feeding may reveal the pathology. The diagnosis has been facilitated by the development of brain imaging techniques. It can be done during the acute phase or retrospectively by viewing sequelae’s images. They are characterized by their etiology and therapeutic management that differ from those found in young adults. The prognosis is dominated by the occurrence of neurological sequelae such as epilepsy or motor deficits. We report a case of stroke in the neonatal period, observed on the sixteenth day of life.
Gaston Ekouya Bowassa,
Paul Macaire Ossou-Nguiet,
Aymar Pierre Gildas Oko,
Annie Rachel Okoko,
Nelly Yvette Ngakegni,
Georges Marius Moyen,
Newborn Stroke in Congo: First Case Report, American Journal of Psychiatry and Neuroscience. Special Issue: Clinical Neurosciences in Tropical Practice .
Vol. 3, No. 5-1,
2015, pp. 22-24.
Béjot Y, Chantegret C, Osseby G-V, Chouchane M, Huet F, Moreau T, et al. Stroke in neonates and children. Rev Neurol 2009 ; 165 : 889 – 900.
Brasseur-Daudruy M, Bordarier C, Cellier C, Eurin D, Marret S, André C, et al. Stroke newborn term: RMI findings. J Radiol 2008 ; 89 : 1085 – 93.
Selton D, André M, Hascoët JM. EEG and ischemic stroke in full-term newborns. Neurophysiol Clin 2003 ; 33 : 120 – 9.
Nguyen The Tich S. Epileptic seizures in neonates : diagnosis and management. Med Therap Pediatr 2006 ; 9 : 269 – 74.
Chabrier S, Husson B, Dinomais M, Landrieu P. Nguyen The Tich S. New insights (and new interrogations) in perinatalarterial stroke. Thromb Res 2011 ; 127 : 13 – 22.
Chadie A, Conti C, Rondeau S, Marret S. Strokes newborn at term. Arch Pediatr 2012; 19: 96 – 7.
Chabrier S, Vuillerot C, Égo A, Debillon T. Arterial ischemic stroke occurring in the neonatal period (excluding preterm newborns): why do we need guidelines for clinical practice? Arch Pediatr 2014; 21: 934 – 7.
Charollais A, Husson B, Dreyfus M, Landrieu P. Diagnostic investigations in stroke newborn. Med Therap Pediatr 2001; 4: 119 – 26.
Mercuri E, Rutherford M, Cowan F, Pennock J, Counsell S, Papadimitriou M, et al. Early prognostic indicators of outcome in infants with neonatal cerebral infarction: a clinical, electro-encephalogram and magnetic resonance imaging study. Pediatrics 1999; 103: 39 – 46.
Sreenan C, Bhargava R, Robertson CM. Cerebral infarction in the term newborn: clinical presentation and long-term outcome. J pediatr 2000; 137: 351 – 5.
Lemesle M, Manceau E, Osseby GV, Madinier-Chappart N, Moreau T, Giroud M. Ischemic cerebrosvasular stroke of arterial origin in the child. Rev Neurol 2001; 157: 1255 – 63.
Otiobanda GF, Ossou-Nguiet PM, Itoua C, Ndinga H, Chobli M. bilateral border zone infarct during spinal anaesthesia for caesarean section. Ann Fr Anesth Rea 2013; 32: 207 – 8.
Lynch JK, Nelson KB. Epidemiology of perinatal stroke. Curr Opin Pediatr 2001; 13: 499 – 595.
Lee J, Croen LA, Lindan C, Nash KB, Yoshida CK, Ferriero DM, et al. Predictors of outcome in perinatal arterial stroke: a population based study. Ann Neurol 2005; 58: 303 – 8.
Kirton A, Deveber G. Life after perinatal stroke. Stroke 2013; 44: 3265 – 71.
Young CC, Brooks KJ, Buchan AM, Szele FG. Cellular and molecular determinants of stroke-induced changes in subventricular zone cell migration. Antioxid Redox Signal 2011; 14: 1877 – 88.
Kratzer I, Chip S, Vexler ZS. Barrier mechanisms in neonatal stroke. Frontier in Neurosci 2014; 8: 359.