“The prospect of mind flexible”
Strokes in children are rare – and sometimes difficult to detect. To Weltschlaganfalltag 29 October NetDoktor.de spoke scientist Dr. Ronald Sträter * In young patients with cerebral infarction
Dr. Sträter, a stroke can also take children, some are even born. hardly anyone knows.
The reason for this is that strokes are very rare in children. In Germany, there are about 300 per year, of which about one third is made before or around birth.
A stroke in children is often diagnosed too late. Why?
In addition to a child, the harder it is common to find a diagnosis. An early hit is the first sometimes not recognized by parents and doctors because the typical symptoms are absent, suggesting a stroke. Only three to six months after birth, when the child has developed, for example, it falls on the parents that something is wrong. This can be a movement disorder that affects a body.
What if they grow?
Since the diagnosis is often not so simple. If a child leaves the nursery and the arm can not move properly, it can not explain what exactly what is wrong often. It is still too young.
To be more likely to think that the complaints have a different cause, which is more common. The child wants to swing or known anywhere. In my office, I had children, where research for months after the orthopedic question before a correct diagnosis is made.
It is particularly difficult if the symptom disappears quickly, the child, for example, the next day without any problem. In the case of operating time they are not recognized.
You can then have consequences for the child who appears later?
It is a scar in the mind. This can decision later in life climax. Some children receive after a brain problems at school. You can, for example, focus wrong and develop learning problems.
The problem with a stroke caused unrecognized are not recognized and treated. Therefore, there is a risk following another severe stroke, which can be fatal.
In adults arteriosclerosis, hypertension or arrhythmias are often the cause of a stroke. What’s behind it children?
In children, there are other, very different triggers. First, it is heart failure and heart disease. Usually, a blood clot that occurs somewhere in the body, do not go to the left side of the heart that pumps blood to the brain. Instead, it seeps into the lung. If a congenital heart defect in which there is a hole between the right and left sides of the heart, is different. In this case, as a clot will shoot on the left and in the brain. Therefore it is run.
A small hole in the heart also all fetuses and newborns.
Certainly in the uterus, is the blood mischievousness lungs because the device does not take place gas exchange. Therefore, every newborn has a small hole in the center, which closes later. The time before birth and is usually a critical phase of the race in childhood. It might be added later trigger, but, for example, infections, stress, birth or lack of oxygen.
Other children have an innate tendency to form clots. For more likely to develop in another spontaneous clot entering the brain where it can cause a stroke.
There are also children with vascular Engen. These bottlenecks in cerebral arteries occur, for example, due to an infection, in which blood vessels swell. It can then be washed with the blood to form the brain to the walls of the vessel clots.
What are infections?
This can be all kinds of infections. A disease that is often mentioned in connection with stroke are chickenpox. After infection with these viruses can occur in cerebral vasculitis
So there is no “one” cause of stroke.
No, usually children completely different factors combine to make common shock. We have the individual risk profile to meet each child, which led to the race – it is directed to treatment.
The child’s brain is still developing. Son better recover from a stroke than adults?
Basically, your brain is much more flexible – this is an opportunity. When an area of the brain damaged by stroke, can, at best other tasks. For example, if the area of the brain is damaged to the language center with a stroke in newborns, children can learn to speak largely normal part. However, this brain capacity decreases with age. In 14 years can damage brain cleared the center speaks much worse.