Neonatologia
Stroke arterioso neonatale: quello che ogni pediatra deve sapere
Neonatal arterial stroke: what all paediatricians need to know
Carmela Di Lucca1, Giovanna Carmela Fabrizio1, Nunzio Francesco Cicchetti2, Angela Derosa1, Tiziana Faillace1, Fabio Forte1, Vincenza Targiani1, Petronilla Appio1, Chiara Figliuolo1, Michele Nardella2, Riccardo Davanzo1,3
1UOC di Pediatria e Neonatologia, 2UOC di Radiologia, Ospedale “Madonna delle Grazie”, Matera
3Direzione Scientifica, IRCCS Materno-Infantile “Burlo Garofolo”, Trieste
Giugno 2020 - pagg. 371 -376
Abstract
Neonatal arterial stroke is a common cause of established neurological sequelae. Although several risk factors have been identified, many questions regarding in particular its causes remain unanswered. This study reports 3 cases observed in the Maternity Hospital in Matera (Italy) between June 2016 and March 2019. Three newborn infants with neonatal arterial ischaemic stroke presented with seizures between 24 and 48 hours of life. Two out of three newborns were effectively treated with phenobarbital. In all cases an arterial ischemic stroke on the left cerebral hemisphere was diagnosed at MRI performed on the 5th day of life. Health professionals in maternity hospitals should keep a high level of suspicion when unexplained seizures develop in healthy-appearing infants.
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Bibliografia
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Corrispondenza: riccardo.davanzo@gmail.com