Abstract

Objective We were analyses associated with level of hemoglobin in the debut of pediatric stroke and presence outcome symptoms since one year after acute stroke. Methods The main group include 78 children with stroke (47 children had ischemic stroke, 31 had hemorrhagic stroke). The patients were between infants to 14 years old. We were observation all patients along year. 5 children (6.41%) were died: 2 children after IS, 3 – after HS. Since one year 21 patients (28.77%) were healthy and 52 (71.23%) had outcomes symptoms (motor abnormalities, epilepsy, mental retardation (include speech and cognitive problems)). 44 children (60.27%) had problems with motor function, 27 (36.99%) – seizures, 34 (46.57%) – mental retardation. 18 patients (24.66%) had one outcome symptom, 15 children (20.55%) – had two symptoms, 19 patients (26.02%) – had three symptoms together. Results Children with motor abnormalities since one year in the acute period had hemoglobin 104.70±2.66 g/l, the average level of hemoglobin in group without motor problems in future was 114.60±4.11 g/l (p<0.05). In the group of children who had seizers since one year level of hemoglobin in acute period was 101.52±3.5 g/l to compared with group of children without seizers – 112.83±2.95 g/l (p<0.05). Patients who had mental retardation since one year in the acute period of stroke had hemoglobin 96.71±2.59 g/l and children without mental problem in future had 119.05±2.87 g/l in the acute period (p<0.05). Conclusion Children who had outcome symptoms since one year after stroke had a lower hemoglobin level in the acute period than children without neurological problems in future. We were analyses associated with level of hemoglobin in the debut of pediatric stroke and presence outcome symptoms since one year after acute stroke. The main group include 78 children with stroke (47 children had ischemic stroke, 31 had hemorrhagic stroke). The patients were between infants to 14 years old. We were observation all patients along year. 5 children (6.41%) were died: 2 children after IS, 3 – after HS. Since one year 21 patients (28.77%) were healthy and 52 (71.23%) had outcomes symptoms (motor abnormalities, epilepsy, mental retardation (include speech and cognitive problems)). 44 children (60.27%) had problems with motor function, 27 (36.99%) – seizures, 34 (46.57%) – mental retardation. 18 patients (24.66%) had one outcome symptom, 15 children (20.55%) – had two symptoms, 19 patients (26.02%) – had three symptoms together. Children with motor abnormalities since one year in the acute period had hemoglobin 104.70±2.66 g/l, the average level of hemoglobin in group without motor problems in future was 114.60±4.11 g/l (p<0.05). In the group of children who had seizers since one year level of hemoglobin in acute period was 101.52±3.5 g/l to compared with group of children without seizers – 112.83±2.95 g/l (p<0.05). Patients who had mental retardation since one year in the acute period of stroke had hemoglobin 96.71±2.59 g/l and children without mental problem in future had 119.05±2.87 g/l in the acute period (p<0.05). Children who had outcome symptoms since one year after stroke had a lower hemoglobin level in the acute period than children without neurological problems in future.

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