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Accidente vascular encefálico en recién nacidos de término y pretérmino tardíos

DOI: 10.4067/S0370-41062009000100007

Keywords: term newborn, late preterm newborn, brain stroke.

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Abstract:

background: brain strokes are uncommon in term and late preterm newborns. nevertheless, they can appear and may be diagnosed when suspected. appropriate diagnostic techniques, available nowadays, allow a better etiologic and therapeutic approach. objective: to report late preterm and term newborns who presented an hemorrhagic or ischemic brain stroke. methods: retrospective analysis of clinical charts at the neonatology service of clínica las condes, santiago-chile, between january 2001 and march 2008. results: 0.07% (8/10639) of these newborns presented brain stroke; 6 hemorrhagic and 2 ischemic strokes. 2 cases were diagnosed as congenital thrombophylia. no deaths were found in this survey. conclusions: no differences in frequency were found in relation to data reported. seizures can be the first clinical manifestation; however, subtle forms must lead to diagnostic suspicion. appropriate diagnostic techniques may allow an accurate diagnosis and integral therapeutic approach of these patients.

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