Do children have strokes? Does stroke occur in children and what to do if a child has a stroke Can teenagers have a stroke

The main danger of a microstroke is changes in blood vessels. In this regard, a microstroke is considered as a harbinger of a real full-blown disease, sometimes leading to irreversible consequences for health and performance. A microstroke is a cerebrovascular accident that occurs suddenly and is characterized by the disappearance of symptoms immediately after they arise, or within the first 24 hours. But after a mini-stroke, some consequences may remain.

Consequences after a mini-stroke

The main cause of disturbances in microstroke is the presence of inconsistencies in the functioning of the vascular wall of small blood vessels due to atherosclerosis, hypertension, etc. The direct “trigger mechanism” may be the occurrence of a sharp spasm of a small blood vessel or a blood clot, which prevents blood flowed to a small area of ​​the brain. If such phenomena pass immediately, then usually there is no necrosis of brain cells, but a temporary disruption of their function is noted, as a result of which signs of a micro-stroke appear. In case of prolonged persistence of microstroke phenomena, the risk of necrosis of individual neurons cannot be excluded. The consequences of such necrosis depend on the area affected and the speed of medical care.

Therefore, in order to avoid consequences after a mini-stroke as much as possible, when the first signs appear, it is necessary to call an ambulance. Medical care, first of all, should consist of restoring normal blood circulation, which prevents the destruction of neurons surrounding the necrosis zone and restores their functions.

As a rule, microstrokes have no visible consequences. But quite often, over the next 3 days after a micro-stroke, a full-fledged severe ischemic or hemorrhagic stroke develops. If the symptoms of a microstroke persist for a long time or the microstroke recurs due to impaired blood delivery to neurons, the latter may undergo some changes, in most cases of an metabolic nature.

The manifestation of such changes is possible in the form of impairments in memory, concentration and other higher functions of the brain. In addition, patients usually note the development of personality changes - they become more irritable, in some cases even aggressive or, conversely, tearful. Thus, there is a gradual formation of dementia against the background of vascular disorders occurring in the brain area. Consequences of this kind are mainly faced by elderly patients who suffer many micro-strokes, and at the same time do not notice their manifestations.

Consequences of a microstroke in adolescents and children

Since the age of occurrence of micro-strokes has become significantly younger, which is explained by an increase in cases of adolescent and childhood obesity, diabetes mellitus and other endocrine disorders, and a decrease in the mortality of newborn children after receiving birth injuries, the consequences of micro-strokes in adolescents and children is a pressing issue. The occurrence of micro-strokes in newborns is usually a consequence of birth injuries, including injuries to the cervical spine, when the vertebral arteries are compressed, and congenital heart defects. If you do not treat a newborn who has suffered a mini-stroke, the consequences may persist throughout life in the form of various disorders. After minor PPNS, children quite often experience the development of hyperactivity syndrome and a decrease in concentration, while intelligence is preserved. As a result of these violations, the child often does not study very well at school and develops adolescent behavioral deviations that manifest themselves in different ways.

Teenagers and older children can suffer a mini-stroke due to various anomalies in the structure of cerebral vessels, congenital heart defects, vasculitis, obesity, and diabetes. Such micro-strokes have consequences that can go unnoticed or affect the neuropsychic development of adolescents, as well as their behavior.

Stroke in children, also called juvenile stroke, has become increasingly common in recent years.

Often its development begins very early:

1. During the formation of the embryo.
2. In newborns up to 1 month of life.

Stroke also occurs in older children - preschoolers and schoolchildren. The reasons that provoke the occurrence of this pathology, as a rule, differ from the causes of strokes in adults.

Types and causes of occurrence

There are only four types of childhood strokes:

1. Fetal.
2. Perinatal.
3. Ischemic.
4. Hemorrhagic.

The first two types relate to embryos and newborns, the last two can occur in children of any age.

Features of strokes are as follows:

Among the causes of strokes are the following:

• thrombosis;
• injuries;
• blood diseases and individual characteristics of the level of viscosity and coagulation;

• problems with blood vessels;
• heart diseases;
• vitamin deficiencies;
• poisoning;
• severe illnesses such as meningitis;
• tumors.

Strokes in newborns and fetuses can develop as a result of the following factors:

• harmful lifestyle of the mother;
• improper formation of the fetus;
• complicated childbirth;
• congenital heart and vascular diseases;
• problems with the placenta and amniotic fluid;
• high blood pressure in the mother.

The severity and symptoms of a stroke usually depend on which part of the brain is affected.

Symptoms and differences from stroke in adults

In children, a stroke in its external manifestations is no different from a stroke in an adult.

This:

• sudden changes in sensation and motor function in part of the body or even one side;
• difficulty speaking, problems understanding other people's speech;
• a sharp drop in vision or double vision of all objects;
• headache;
• dizziness, problems with orientation in space;

• problems with urinary control;
• a sharp drop in attention;
• convulsions;
• nausea;
• involuntary movements of any part of the body or face;
• memory impairment;
• sudden appearance and development of strabismus;
• breathing problems.

Key differences between a stroke in a child and a stroke in an adult:

1. Neurological symptoms are much more noticeable.
2. Stroke in newborns and fetuses is often asymptomatic.
3. Microstrokes and lacunar infarctions occur more often than usual.
4. Therapy and diagnosis also have their own characteristics, and recovery is usually much faster.

However, it is necessary to consult a doctor as soon as alarming signs are noticed, among which priority are seizures, disturbances in motor activity and problems with orientation in space. These symptoms are the main indicators that the child is having a stroke.

Diagnostics

Diagnosing a stroke in a child can be a difficult task even for a good specialist. This is due to the fact that many young children are unable to describe their condition. In addition, there are many diseases (especially when it comes to newborns) with similar symptoms.

Traditional diagnostics in this case includes:

• blood tests: general and biochemical;
• coagulogram;
• magnetic resonance imaging (performed on days 3-5);
• rheoencephalography;
• angiography;
• phlebography;
• spiral tomography of cerebral vessels;
• radiography;
• Ultrasound of the brain;
• echoencephalography;
• spinal function (carried out on day 2 to analyze the presence of hemorrhagic stroke).

Among the diseases that can cause similar symptoms are purulent and neurological processes, intoxication, tumors and migraines. This also requires differentiated diagnostics.

First aid and treatment

First aid for stroke in children should look like this:

1. The baby lies down, with his head raised on the pillow.
2. Provides air flow and free breathing.
3. Tight clothing is removed.
4. Vomiting and convulsions require the head to be turned to the side and the mouth to be cleared of vomit.
5. You should call a doctor immediately.
6. If breathing stops, take resuscitation measures.

After the first signs of a stroke appear, the child should be placed in a neurological hospital.

There is little time to provide comprehensive assistance that will help him recover fully.

Treatment consists of several stages:

1. Urgent measures in the recovery room or intensive care unit.
2. Therapy in neurology.
3. Dispensary observation.

Treatment methods depend on the cause and type of stroke.

But, as a rule, in any case the following will be used:

• anticonvulsants;
• nootropic drugs;
• angioprotectors;
• drugs that prevent the development of edema.

You will also need to take a complex of vitamins for full recovery.

Possible complications

With proper treatment, there may be no further relapses. Subsequent strokes occur in less than a third of children. Multiple strokes occur if a child has chronic pathologies of the brain or blood.

In addition, the following complications may occur:

• partial paralysis;
• speech problems;
• sudden changes in behavior;
• mental retardation;
• vision or hearing loss;
• problems with coordination.

Childhood strokes are almost never completely without consequences. About 5% of children recover completely; death occurs in about 16%. The rest are affected by consequences of varying severity.

In the article we discuss stroke in children. We talk about the reasons for its development, the first signs and symptoms. You will learn what are the characteristics of the disease in children, how to properly diagnose and treat it, possible consequences, prognosis and prevention.

Stroke in children

Timely supply of blood to the brain ensures its uninterrupted functioning, as well as the functioning of the entire body. When the blood supply is interrupted, a stroke occurs. The brain stops receiving nutrients and oxygen, resulting in tissue damage.

The form of stroke in children may vary depending on the assessment criteria.

Depending on the age of the child, stroke occurs:

• Perinatal. Occurs during the period from the 28th week of pregnancy of the mother to 1 month of life of the newborn.
• Children's. Occurs from the 29th day of life until adulthood.

According to the type of origin, stroke is divided into:

• Ischemic - blood flow is temporarily stopped due to a blood clot that blocks a cerebral vessel. A clot can form in any vessel of the body and, together with the blood flow, enter the vascular system of the brain. It can be thrombotic, embolic and non-thrombotic (caused by prolonged narrowing of the arteries).
• Hemorrhagic - a blood vessel ruptures, blood in large quantities begins to accumulate under the membrane of the brain or in its substance, creating increased pressure on adjacent tissues and disrupting their activity. It can be parenchymal, subdural, subarachnoid and epidural.

Reasons for development

In a hemorrhagic stroke, a blood vessel ruptures. In children it occurs for the following reasons:

• aneurysm, that is, protrusion and thinning of the arterial walls;
• traumatic brain injury;
• intoxication or vitamin deficiency;
• tumor;
• high blood pressure;
• blood diseases, including leukemia and hemophilia;
• drug or alcohol addiction of the mother.

In an ischemic stroke, a clot blocks blood flow, causing a cerebral infarction. The cause of such a blood clot can be certain diseases:

• heart defect (congenital);
• chickenpox, meningitis and other infectious diseases;
• heart valve replacement;
• bacterial endocarditis;
• diabetes;
• cerebral vasculitis;
• abnormal development of veins, arteries and capillaries.

In some cases, ischemic stroke occurs due to maternal problems during pregnancy and childbirth. Her blood pressure may increase with swelling of the extremities. Amniotic fluid may recede too early, a day before birth, or placental abruption may begin, interrupting the baby's intrauterine oxygen saturation.

A teenager can suffer an ischemic stroke if he uses amphetamine, cocaine, or, if he is poisoned with isoniazid, maninil.

First signs and symptoms

Adult and pediatric stroke differ little from each other in symptoms.

First signs:

• severe weakness;
• slurred speech;
• blurred vision;
• clouding of consciousness.

Children 2-4 years old also experience:

• problems with appetite;
• apnea (difficulty breathing);
• leg or arm cramps;
• delay in physical development.

In older children, it begins:

• paralysis of a single limb and then of the entire body;
• deterioration in concentration;
• sluggishness of speech.

Depending on which hemisphere of the brain the hemorrhage occurred in, symptoms may vary. With a right-sided stroke, the movements of the left side of the body are impaired, and the child has difficulty fastening the buttons on this side of the shirt. It cannot measure the size and position of objects normally.

With a left-sided stroke, it is difficult for a child to speak, since the left hemisphere is responsible for speech and language. Movements of the right side of the body become abrupt and clumsy.

If you notice any of the following symptoms in your baby, call an ambulance immediately:

• severe headache accompanied by vomiting;
• difficulty pronouncing words or understanding speech;
• dizziness, difficulties with orientation in space;
• sudden deterioration of vision;
• problems with swallowing;
• sudden memory loss;
• paralysis of one side of the body.

Features of stroke in children

The peculiarity of childhood stroke is that if cerebral circulation is disrupted in the perinatal period, the baby does not develop obvious signs of the disease for a long time. The child is developing normally, only a little slower than other children. Therefore, it is very difficult to diagnose stroke in newborns.

On the other hand, a child’s brain is constantly changing, his nervous system is more plastic than that of adults. Therefore, the rehabilitation abilities of children are much higher. With timely diagnosis and adequate treatment, most of the impaired body functions are restored.

Diagnosis and treatment

The most important period of time when medical care becomes most effective is the first three hours after the onset of stroke symptoms. If you suspect this diagnosis, follow these simple steps:

1. Look at the child's smile - how symmetrical and natural it is.
2. Ask him to raise his arms up to see if there is any weakness in one of the limbs.
3. Say any sentence and ask your child to repeat what he heard - whether there are any irregularities in the pronunciation of words, whether he remembered correctly.

A crooked smile, difficulty moving your hands, and communication problems are three signs of a possible stroke. It's time to call the doctor.

To detect pathology, the neurologist will offer the following types of diagnostics:

• radiography;
• Doppler ultrasound to check blood flow in the vessels;
• MRI of the brain;
• clinical analysis of urine and blood;
• echoencephalography.

During treatment for childhood stroke, doctors stabilize normal body temperature and blood glucose levels. Specialists monitor blood pressure levels, relieve seizures with anticonvulsants, and provide neuroprotection to protect brain tissue.

You will learn more about first aid for a stroke in the following video:

Consequences

Impaired blood supply to the brain in a child can cause serious consequences:

• cerebral paralysis;
• mental retardation;
• poor vision up to blindness;
• difficulties with normal communication.

Even if your child avoids these consequences, he will undergo regular monitoring by physical therapists, speech therapists and neurorehabilitation specialists.

Prognosis and prevention

Childhood strokes have an unfavorable prognosis - 5-16% of cases lead to death, about 80% of children remain disabled, and only 5% make a full recovery.

The prognosis improves significantly with timely treatment. Repeated cases are observed much less frequently. Although 70% of children still have certain neurological disorders, and 40% of them require continuous third-party care.

Of course, the best option is to prevent the child from developing a stroke at all. However, this does not always depend on our capabilities. If an attack has already occurred, doctors give several recommendations to prevent relapse:

• minimize computer games and talking on a mobile phone;
• normalize sleep patterns;
• accustom the child to active games in the fresh air;
• enrich the diet with Omega-3 fatty acids and B vitamins;
• control blood pressure.

The most important rule is not to miss examinations with a neurologist, pediatrician and cardiologist.

What to remember

1. Children can experience both ischemic and hemorrhagic strokes.
2. If the first signs of a stroke occur, you should immediately call an ambulance.
3. To prevent a recurrent stroke, it is necessary to lead a healthy lifestyle, enrich the diet with vitamins and minerals, healthy fatty acids, and monitor blood pressure.

There are 2 types of strokes, different in location and type of origin. Stroke in children can be caused by a brief stoppage of blood flow due to a blood clot blocking blood flow or a ruptured blood vessel in the brain. The first is a cerebral infarction (ischemic), the second is hemorrhagic.

General information

The blood entering the brain provides the nutrients and oxygen necessary for the smooth and “correct” functioning of this organ. As a result of a stroke, the brain does not receive vital substances, resulting in damage to some of its parts.

Pediatric strokes according to the period of origin are divided into:

• perinatal or intrauterine;
• strokes that occurred in the newborn phase;
• PMC under the age of 18 years.

Treatment and diagnosis vary depending on the age group. The most common are considered to be cerebrovascular accidents (cerebral circulatory disorders) of the first two age groups: statistics show the probability of this event is 1 in 4,000 thousand children born. The latter group has a rate of 1 case per 100,000 people. The severity of a childhood stroke is determined by its location in the brain.

Possible causes of NMC

Hemorrhagic stroke in children, as already mentioned, occurs due to the rupture of a vessel in the brain. In this case, blood flows into the brain, causing damage. This type of cerebrovascular accident occurs less frequently in children.

Possible reasons for the rupture of a blood vessel in a child’s brain:

• traumatic brain injury, subsequently leading to the destruction of brain vessels;
• (in other words, weakness in the artery wall);
• vitamin deficiency, intoxication;
• a brain tumor;
• maternal alcoholism or drug addiction;
• blood diseases. (hemophilia, leukemia, hemoglobinopathy, aplastic anemia).

Ischemic stroke in children (cerebral infarction) is more common than hemorrhagic stroke. The main causes of this type of stroke are as follows:

• lack of oxygen during childbirth;
• past infectious diseases (chickenpox, meningitis);
• Congenital heart defect;
• bacterial endocarditis;
• heart valve prosthesis;
• cerebral vasculitis (typical for children with autoimmune diseases);
• diabetes;
• anomalies of blood vessels, veins, arteries, capillaries.

However, there are reasons related to the problems the mother suffered during pregnancy or childbirth:

• high blood pressure, which can cause swelling in the limbs;
• premature discharge of amniotic fluid (more than a day before birth);
• drug or alcohol addiction;
• detachment of the placenta, which is responsible for saturating the baby with oxygen in utero.

Symptoms and signs

Symptoms of childhood strokes are similar to those seen in adults. Among them are sudden weakness, clouding of consciousness, slurred speech, and sudden temporary deterioration of vision.

A baby who has suffered a stroke in the perinatal period often does not show any special symptoms for a long time after birth. The development of such a child may proceed normally, but at a slower pace than in other children. In cases of serious intrauterine strokes, the baby may subsequently experience seizures, the severity of which varies greatly.

Stroke suffered by young children manifests itself as follows:

• having problems with appetite;
• spasms of any limb;
• apnea in a child - breathing problems;
• developmental delay (young children may, for example, start crawling later than expected).

Older children may be susceptible to seizures, which are sudden paralysis of the entire body or limbs. Inability to move, deterioration in concentration, lethargy, slurred speech - these symptoms will allow parents to recognize IUD in a teenager. If one of the following symptoms appears, you should immediately consult a doctor or call an ambulance:

• headaches, possibly with vomiting;
• slurred speech, problems with the speech apparatus, previously absent seizures;
• sudden loss of memory, concentration;
• problems breathing or swallowing;
• preferential use of one side of the body (this may be due to damage to one part of the brain);
• paralysis.

Possible consequences

The serious consequences that can result from ischemic or hemorrhagic stroke in children include:

• mental retardation;
• cerebral paralysis;
• psychological problems;
• vision problems;
• difficulties in communication.

After any type of CMC, the child needs regular supervision by specialists whose activities are aimed at helping in rehabilitation. These doctors include physiotherapists, speech therapists, and neurorehabilitation specialists.

It must be remembered that brain damage in a child can be significant, but the plasticity of the children’s nervous system is much greater than that of adults. This means that children's ability to rehabilitate and recover is much higher. A child's brain is in the process of development, and therefore has a greater chance of recovery compared to an adult's brain. In case of timely and effective treatment, specialists can achieve a high level of restoration of body functions impaired after a stroke.

What to do

The first three hours after the onset of symptoms similar to a stroke in children is the time when the medical care and treatment provided will give the maximum result. Parents need to remember this by acting promptly and in a timely manner. A few simple steps to help identify a stroke:

1. Pay attention to the smile - is it symmetrical, does it look natural. If the baby smiles on only one half of his face, this is the first sign of a possible stroke.
2. Ask the child to raise his arms up: if there is weakness in one of the limbs, the inability to perform this action is the second sign
3. Say a sentence and ask them to reproduce it. At the same time, pay attention to whether the baby completely repeated what he heard, whether there is a speech disorder or slurredness. If he failed the task or had difficulty pronouncing, this is the third sign of a possible stroke.

Remember that every parent has the power to help their child at the initial stage of ICD. It is necessary to be careful and, in case of manifestation of the above-described signs, namely, symptoms of stroke in children, immediately seek qualified help.

The popular belief that stroke is a purely “adult” disease is fundamentally wrong. Stroke in children is not such a rare occurrence. What’s even worse is that the disease often affects newborns. Of course, older people, after 65 years, suffer more from disorders of the blood supply to the brain. If we look at the statistical data on childhood morbidity, the picture is as follows: 6 cases per 100 thousand children. In addition, it should be noted that the clinical picture and first signs of stroke in young children will be somewhat different from adult manifestations.

Timely flow of blood to the brain guarantees the normal functioning of both the organ itself and the body as a whole. If its blood supply is disrupted, a stroke occurs. The brain is deprived of oxygen and essential nutrients, causing its tissues to suffer. The classification of hemorrhages in the brain area in children will directly depend on the specified assessment criteria. So, based on the age of the baby, they distinguish:

• fetal stroke (in the prenatal period);
• perinatal (occurring from the 28th gestational week until the baby’s month of life);
• childhood stroke (manifests from the 29th day of a child’s life until he reaches adulthood).

Based on the type of origin, cerebral stroke in children is divided into:

• ischemic;
• hemorrhagic.

Ischemic stroke in a child occurs due to blockage of a cerebral vessel by a blood clot (ischemia). A clot can form in any of the vessels of the body and enter the vascular system of the brain through the bloodstream. Ischemic cerebral stroke in children can also be thrombotic, non-thrombotic and embolic.

Hemorrhagic stroke in young children occurs due to the rupture of a blood vessel, due to which large volumes of blood begin to accumulate under the lining of the brain or directly in its substance. This provokes excessive pressure on nearby tissues and leads to disruption of their functions. It can be parenchymal, subarachnoid, subdural and epidural.

Causes

As already mentioned, hemorrhagic stroke is characterized by rupture of a vessel. Why does this problem occur in children? There are several factors and reasons for this:

• tumor;
• aneurysm;
• high blood pressure;
• traumatic brain injury;
• vitamin deficiency or intoxication;
• blood diseases (hemophilia, leukemia);
• drug or alcohol addiction of the mother.

In the case of an ischemic stroke, a blood clot blocks a vessel, which leads to a heart attack. The formation of such blood clots can be facilitated by:

• diabetes;
• cerebral vasculitis;
• Congenital heart defect;
• bacterial endocarditis;
• heart valve replacement;
• anomalies of veins, arteries and capillaries;
• infectious diseases (chickenpox, meningitis and others).

Rarely, ischemic stroke in a child is preceded by maternal problems during pregnancy. As a rule, we are talking about persistently high blood pressure, placental abruption, which interrupts oxygen supply to the fetus, or early discharge of water (one day before birth). As for teenagers, they may have an ischemic stroke due to taking amphetamines, cocaine, or due to poisoning with maninil or isoniazid.

Symptoms

Stroke in children has the same symptoms as in adults. That is, there is foggy consciousness, vision deteriorates, weakness suddenly occurs and speech becomes slurred. However, diagnosing the condition and identifying symptoms in infants is often difficult, since they are not able to describe their condition, and relatives rarely focus on the appearance of neurological manifestations in the baby. As for children from 1 to 4 years old, the first signs of a stroke may also be accompanied by the following symptoms:

• apnea;
• lack of appetite;
• limb spasms;
• delayed physical development.

In older children, there is a decrease in concentration and possible paralysis of one of the limbs, which then spreads to the whole body. There is also a connection with the hemisphere of the brain in which the hemorrhage occurred, so symptoms may vary. When the right hemisphere is affected, the movements of the left side of the body become more difficult and the child often has problems fastening buttons on this side of clothing. In addition, the baby loses the ability to adequately assess the position and size of objects. If the left hemisphere is damaged, it is difficult for the child to speak, since this area of ​​the brain is responsible for speech and language functioning. There is also sharpness and clumsiness in the movements of the right side of the body.

Particular attention should be paid to the following symptoms in children:

• memory loss;
• swallowing problems;
• unilateral paralysis;
• sudden deterioration of vision;
• difficulties in pronouncing words and in speech perception;
• dizziness, problems with spatial orientation;
• intense headache, often accompanied by vomiting.

If a child experiences at least one of the listed symptoms, you should immediately call an ambulance.

Diagnostics

The most important period when medical care is most effective is the first 3 hours after the onset of stroke symptoms. If you suspect a stroke, you need to do the following:

• assess the symmetry and naturalness of the baby’s smile;
• ask the child to raise his arms up - this will reveal the weakness of one of the limbs;
• pronounce any phrase and ask the baby to repeat what he heard: this is how speech and memory disorders are determined.

If a crooked smile, disturbances in movement and speech are detected, then most likely the child is having a stroke and needs to be urgently hospitalized. In a hospital setting, to confirm the diagnosis, the baby may be prescribed the following types of diagnostics:

• Brain MRI;
• radiography;
• echoencephalography;
• Dopplerography of blood vessels;
• laboratory tests of urine and blood.

First aid

Until the ambulance arrives, you need to be able to provide the child with first aid. First of all, you need to lay him on his back, placing a high pillow under his head (to avoid the development or progression of cerebral edema). Next, you should remove all restrictive clothing from the baby (unfasten the collar, belt, belt).

Then open a window or vent for better flow of fresh air. In case of vomiting, you need to turn the child's head to the sides and clear the mouth of mucus and vomit. If the baby stops breathing (with a major stroke), it is necessary to begin resuscitation.

Treatment

After detecting the first symptoms of a stroke in a child, treatment is necessary (in the first 3-6 hours), due to the very rapid damage to brain cells.
After all, when they are massively damaged, the consequences are often irreversible. First of all, doctors identify the type and cause of the stroke, after which they eliminate the most dangerous symptoms that provoke the progression of the stroke (cerebral edema, high blood pressure, problems with the heart).

In case of severe pain, painkillers are administered, anticonvulsants are administered in case of intense convulsive syndrome, antioxidants and nootropics are administered to restore neurons. Further specific treatment will directly depend on the type of stroke (ischemic or hemorrhagic). After stabilizing the patient’s condition, physiotherapy, exercise therapy, massage, work with a speech therapist and psychologist are introduced, and complications are also prevented.

Complications and consequences

The consequences of such a blow in childhood can be quite severe. So, in the future it is possible:

• development of cerebral palsy;
• paralysis and paresis;
• loss of vision and hearing;
• mental retardation;
• persistent speech disorders;
• problems in the functioning of the pelvic organs;
• formation of mental retardation;
• persistent deviations in movement coordination;
• psychological problems (changes in mood, behavior, character).

Timely diagnosis and therapy for childhood strokes contributes to the gradual restoration of brain function and minimizing the consequences of this pathology.

Rehabilitation

Rehabilitation activities in children should begin as early as possible. Therefore, after assessing all neurological problems and the severity of the little patient’s condition, the possibility of conducting an early rehabilitation course is considered. Such activities are carried out according to an individual plan, first in specialized institutions, and then at home. In parallel with this, parents are privy to all the nuances of the rehabilitation program so that they can provide psychological support to the child at all stages.