The Etiology and Outcome of Cerebrovascular Diseases in Northeastern Thai Children
Narong Auvichayapat MD*, Sompon Tassniyom MD*, Sumalee Hantragool MD*, Paradee Auvichayapat MD**
Affiliation : * Department of Pediatrics, Faculty of Medicine, Khon Kaen University, Khon Kaen ** Department of Physiology, Faculty of Medicine, Khon Kaen University, Khon Kaen
Objective : To review the etiology and outcome of cerebrovascular diseases among children in Northeastern
Thailand.
Study
Design : Retrospective, descriptive study.
Setting : Srinagarind Hospital, Khon Kaen, Thailand.
Materials and Methods : The authors studied 109 pediatric patients admitted between April 1995 and 2006.
Results : The mean age was 11.6 years and the male-to-female ratio was 1.06:1. The ages at onset ranged from
6 months to 15 years, while the most commonly affected age group were children between 10 and 15 years. The
authors identified 74 hemorrhagic strokes (65%) and 35 ischemic strokes (31%). The most common etiologic
factor in hemorrhagic and ischemic strokes was arteriovenous malformations and cardiac diseases respec-
tively. The five most common presenting symptoms were headache, alteration of consciousness, hemiparesis,
vomiting, and seizures. The mortality rate was 22%.
Conclusion : Knowledge of the etiologies and outcomes of cerebrovascular disease in children should improve
diagnosis and management.
Keywords : Cerebrovascular disease, Hemorrhagic stroke, Ischemic stroke, Children, Etiology, Outcome
