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Information Journal Paper

Title

PREVALENCE OF STROKE IN NEONATES WHO ADMITTED WITH SEIZURES IN NEONATAL INTENSIVE CARE UNIT

Pages

  41-47

Abstract

 Prevalence of neonatal STROKE has been reported 1/2300-1/4000 live births andaccounts for 12-20% of the cases of neonatal SEIZUREs. Although STROKE has beenintroduced as the second cause of the neonatal SEIZUREs in literatures, it mayremain unclear in diagnostic evaluations of SEIZURE in NEONATEs. This study wasperformed to assess the prevalence of STROKE in NEONATEs with SEIZURE.Materials & MethodsIn this cross-sectional study, all NEONATEs ≥ 28 weeks of gestation with a diagnosisof SEIZUREs admitted to the NICU of Boo-Ali Sina Hospital in Sari, north ofIran, were enrolled. Brain CT scan and a Transcranial Doppler ultrasonographywere performed for the all cases. In cases that STROKE were reported in one ortwo above modalities, an MRI was also performed and prevalence of STROKEwas reported. Putative risk factors of STROKE were analyzed with univariate andmultivariate statistical methods.ResultsFrom 174 newborn infants, 75.3% of NEONATEs were male. Prevalence of STROKEwas 8%, 2.3% and 3.4% in Doppler ultrasonography, CT scan and MRI reportsrespectively. Umbilical venous catheterization was the risk factor of STROKE inthe univariate and multivariate analysis (P=0.001; OR, 10.39; 95% CI, 2.72-39.77). The most common form of SEIZURE was focal clonic SEIZUREs (78.6%) inneonates with STROKE.ConclusionInvestigation of STROKE as an etiology of neonatal SEIZUREs is essential becauseseizure may be the only symptom of neonatal cerebral infarction. Dopplerultrasonography can be a valuable diagnostic tool at first in critically ill NEONATEsor in situations that MRI is not available primarily. Further studies with notice tooutcome assessment of these infants recommended.

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    APA: Copy

    FARHADI, ROYA, AALAEE, ABDOLRASOUL, ALIPOUR, ZAHRA, ABBASKHANIAN, ALI, NAKHSHAB, MARYAM, & DERAKHSHANFAR, HOJJAT. (2015). PREVALENCE OF STROKE IN NEONATES WHO ADMITTED WITH SEIZURES IN NEONATAL INTENSIVE CARE UNIT. IRANIAN JOURNAL OF CHILD NEUROLOGY (IJCN), 9(4), 41-47. SID. https://sid.ir/paper/303595/en

    Vancouver: Copy

    FARHADI ROYA, AALAEE ABDOLRASOUL, ALIPOUR ZAHRA, ABBASKHANIAN ALI, NAKHSHAB MARYAM, DERAKHSHANFAR HOJJAT. PREVALENCE OF STROKE IN NEONATES WHO ADMITTED WITH SEIZURES IN NEONATAL INTENSIVE CARE UNIT. IRANIAN JOURNAL OF CHILD NEUROLOGY (IJCN)[Internet]. 2015;9(4):41-47. Available from: https://sid.ir/paper/303595/en

    IEEE: Copy

    ROYA FARHADI, ABDOLRASOUL AALAEE, ZAHRA ALIPOUR, ALI ABBASKHANIAN, MARYAM NAKHSHAB, and HOJJAT DERAKHSHANFAR, “PREVALENCE OF STROKE IN NEONATES WHO ADMITTED WITH SEIZURES IN NEONATAL INTENSIVE CARE UNIT,” IRANIAN JOURNAL OF CHILD NEUROLOGY (IJCN), vol. 9, no. 4, pp. 41–47, 2015, [Online]. Available: https://sid.ir/paper/303595/en

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