Review article
https://doi.org/10.26800/LV-145-supl1-38
Perinatal stroke – risk factors, presentation and outcome
Jelena Martić
orcid.org/0000-0001-8585-9807
; Univerzitet u Beogradu, Medicinski fakultet
Jelena Kojović
Abstract
Perinatal stroke is defined as an acute neurological syndrome with chronic sequelae due to cerebral injury of vascular origin occuring between 20 weeks gestation and 28 postnatal days. Novel classification is based on neuroimaging and clinical features, and distinguishes two groups: acute, symptomatic perinatal stroke with occurrence from birth to 28 days and presumed perinatal stroke which clinical presentation involves a chronic, static, focal neurologic deficit or seizures. Advances in understanding the etiology of perinatal cerebral infarction may reduce the incidence of this entity, primarily through appropriate antenatal monitoring and postnatal treatment. Early recognition of clinical manifestations and risk factors would enable prompt diagnosis and referral of patients to centers with the possibility of specific neuroradiological diagnostics. Appropriate therapy would contribute to the preservation of brain functions and recovery of damaged structures. Anticoagulant therapy is indicated in specific cases of arterial ischemic infarction and sinovenous thrombosis. Physical therapy is necessary in order to improve the neurological outcome and prevent permanent neurological damage.
Keywords
PERINATAL STROKE; NEONATAL STROKE
Hrčak ID:
300865
URI
Publication date:
17.4.2023.
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