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Newborn Stroke in Congo: First Case Report

Received: 8 May 2015     Accepted: 2 September 2015     Published: 16 October 2015
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Abstract

Neonatal strokes are defined by the occurrence of any cerebrovascular event between the 20th week of gestation and 28th day after birth. It is an uncommon disease whose incidence varies according to the authors. The localized seizures are the main symptoms. But nonspecific symptoms like bradycardia, bradypnea and poor feeding may reveal the pathology. The diagnosis has been facilitated by the development of brain imaging techniques. It can be done during the acute phase or retrospectively by viewing sequelae’s images. They are characterized by their etiology and therapeutic management that differ from those found in young adults. The prognosis is dominated by the occurrence of neurological sequelae such as epilepsy or motor deficits. We report a case of stroke in the neonatal period, observed on the sixteenth day of life.

Published in American Journal of Psychiatry and Neuroscience (Volume 3, Issue 5-1)

This article belongs to the Special Issue Clinical Neurosciences in Tropical Practice

DOI 10.11648/j.ajpn.s.2015030501.15
Page(s) 22-24
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

MRI, Newborn, Seizures, Stroke

References
[1] Béjot Y, Chantegret C, Osseby G-V, Chouchane M, Huet F, Moreau T, et al. Stroke in neonates and children. Rev Neurol 2009 ; 165 : 889 – 900.
[2] Brasseur-Daudruy M, Bordarier C, Cellier C, Eurin D, Marret S, André C, et al. Stroke newborn term: RMI findings. J Radiol 2008 ; 89 : 1085 – 93.
[3] Selton D, André M, Hascoët JM. EEG and ischemic stroke in full-term newborns. Neurophysiol Clin 2003 ; 33 : 120 – 9.
[4] Nguyen The Tich S. Epileptic seizures in neonates : diagnosis and management. Med Therap Pediatr 2006 ; 9 : 269 – 74.
[5] Chabrier S, Husson B, Dinomais M, Landrieu P. Nguyen The Tich S. New insights (and new interrogations) in perinatalarterial stroke. Thromb Res 2011 ; 127 : 13 – 22.
[6] Chadie A, Conti C, Rondeau S, Marret S. Strokes newborn at term. Arch Pediatr 2012; 19: 96 – 7.
[7] Chabrier S, Vuillerot C, Égo A, Debillon T. Arterial ischemic stroke occurring in the neonatal period (excluding preterm newborns): why do we need guidelines for clinical practice? Arch Pediatr 2014; 21: 934 – 7.
[8] Charollais A, Husson B, Dreyfus M, Landrieu P. Diagnostic investigations in stroke newborn. Med Therap Pediatr 2001; 4: 119 – 26.
[9] Mercuri E, Rutherford M, Cowan F, Pennock J, Counsell S, Papadimitriou M, et al. Early prognostic indicators of outcome in infants with neonatal cerebral infarction: a clinical, electro-encephalogram and magnetic resonance imaging study. Pediatrics 1999; 103: 39 – 46.
[10] Sreenan C, Bhargava R, Robertson CM. Cerebral infarction in the term newborn: clinical presentation and long-term outcome. J pediatr 2000; 137: 351 – 5.
[11] Lemesle M, Manceau E, Osseby GV, Madinier-Chappart N, Moreau T, Giroud M. Ischemic cerebrosvasular stroke of arterial origin in the child. Rev Neurol 2001; 157: 1255 – 63.
[12] Otiobanda GF, Ossou-Nguiet PM, Itoua C, Ndinga H, Chobli M. bilateral border zone infarct during spinal anaesthesia for caesarean section. Ann Fr Anesth Rea 2013; 32: 207 – 8.
[13] Lynch JK, Nelson KB. Epidemiology of perinatal stroke. Curr Opin Pediatr 2001; 13: 499 – 595.
[14] Lee J, Croen LA, Lindan C, Nash KB, Yoshida CK, Ferriero DM, et al. Predictors of outcome in perinatal arterial stroke: a population based study. Ann Neurol 2005; 58: 303 – 8.
[15] Kirton A, Deveber G. Life after perinatal stroke. Stroke 2013; 44: 3265 – 71.
[16] Young CC, Brooks KJ, Buchan AM, Szele FG. Cellular and molecular determinants of stroke-induced changes in subventricular zone cell migration. Antioxid Redox Signal 2011; 14: 1877 – 88.
[17] Kratzer I, Chip S, Vexler ZS. Barrier mechanisms in neonatal stroke. Frontier in Neurosci 2014; 8: 359.
Cite This Article
  • APA Style

    Gaston Ekouya Bowassa, Paul Macaire Ossou-Nguiet, Aymar Pierre Gildas Oko, Annie Rachel Okoko, Engoba Moyen, et al. (2015). Newborn Stroke in Congo: First Case Report. American Journal of Psychiatry and Neuroscience, 3(5-1), 22-24. https://doi.org/10.11648/j.ajpn.s.2015030501.15

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    ACS Style

    Gaston Ekouya Bowassa; Paul Macaire Ossou-Nguiet; Aymar Pierre Gildas Oko; Annie Rachel Okoko; Engoba Moyen, et al. Newborn Stroke in Congo: First Case Report. Am. J. Psychiatry Neurosci. 2015, 3(5-1), 22-24. doi: 10.11648/j.ajpn.s.2015030501.15

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    AMA Style

    Gaston Ekouya Bowassa, Paul Macaire Ossou-Nguiet, Aymar Pierre Gildas Oko, Annie Rachel Okoko, Engoba Moyen, et al. Newborn Stroke in Congo: First Case Report. Am J Psychiatry Neurosci. 2015;3(5-1):22-24. doi: 10.11648/j.ajpn.s.2015030501.15

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  • @article{10.11648/j.ajpn.s.2015030501.15,
      author = {Gaston Ekouya Bowassa and Paul Macaire Ossou-Nguiet and Aymar Pierre Gildas Oko and Annie Rachel Okoko and Engoba Moyen and Nelly Yvette Ngakegni and Georges Marius Moyen},
      title = {Newborn Stroke in Congo: First Case Report},
      journal = {American Journal of Psychiatry and Neuroscience},
      volume = {3},
      number = {5-1},
      pages = {22-24},
      doi = {10.11648/j.ajpn.s.2015030501.15},
      url = {https://doi.org/10.11648/j.ajpn.s.2015030501.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajpn.s.2015030501.15},
      abstract = {Neonatal strokes are defined by the occurrence of any cerebrovascular event between the 20th week of gestation and 28th day after birth. It is an uncommon disease whose incidence varies according to the authors. The localized seizures are the main symptoms. But nonspecific symptoms like bradycardia, bradypnea and poor feeding may reveal the pathology. The diagnosis has been facilitated by the development of brain imaging techniques. It can be done during the acute phase or retrospectively by viewing sequelae’s images. They are characterized by their etiology and therapeutic management that differ from those found in young adults. The prognosis is dominated by the occurrence of neurological sequelae such as epilepsy or motor deficits. We report a case of stroke in the neonatal period, observed on the sixteenth day of life.},
     year = {2015}
    }
    

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    AU  - Gaston Ekouya Bowassa
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    AU  - Aymar Pierre Gildas Oko
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    AU  - Engoba Moyen
    AU  - Nelly Yvette Ngakegni
    AU  - Georges Marius Moyen
    Y1  - 2015/10/16
    PY  - 2015
    N1  - https://doi.org/10.11648/j.ajpn.s.2015030501.15
    DO  - 10.11648/j.ajpn.s.2015030501.15
    T2  - American Journal of Psychiatry and Neuroscience
    JF  - American Journal of Psychiatry and Neuroscience
    JO  - American Journal of Psychiatry and Neuroscience
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    PB  - Science Publishing Group
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    AB  - Neonatal strokes are defined by the occurrence of any cerebrovascular event between the 20th week of gestation and 28th day after birth. It is an uncommon disease whose incidence varies according to the authors. The localized seizures are the main symptoms. But nonspecific symptoms like bradycardia, bradypnea and poor feeding may reveal the pathology. The diagnosis has been facilitated by the development of brain imaging techniques. It can be done during the acute phase or retrospectively by viewing sequelae’s images. They are characterized by their etiology and therapeutic management that differ from those found in young adults. The prognosis is dominated by the occurrence of neurological sequelae such as epilepsy or motor deficits. We report a case of stroke in the neonatal period, observed on the sixteenth day of life.
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    ER  - 

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Author Information
  • Faculty of Health Sciences, Marien NGOUABI University, Brazzaville, Congo

  • Faculty of Health Sciences, Marien NGOUABI University, Brazzaville, Congo

  • Faculty of Health Sciences, Marien NGOUABI University, Brazzaville, Congo

  • Faculty of Health Sciences, Marien NGOUABI University, Brazzaville, Congo

  • Faculty of Health Sciences, Marien NGOUABI University, Brazzaville, Congo

  • Unit of Neonatology, University Hospital of Brazzaville, Brazzaville, Congo

  • Faculty of Health Sciences, Marien NGOUABI University, Brazzaville, Congo

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