Sunday, February 11, 2007

Types of Stroke

An ischemic stroke—the most common form of stroke in children under age 15—is caused by a blocked or narrowed artery. In children, blockages may be caused by a blood clot, injury to the artery, or rarely in children, atherosclerosis (build-up of fatty deposits on the blood vessel walls). A cerebral thrombosis is a blood clot that develops at the clogged part of the blood vessel. A cerebral embolism is a blood clot that travels to the clogged blood vessel from another location in the circulatory system.

A hemorrhagic stroke—the more common form of stroke in infants and children under age two—occurs when a weakened blood vessel leaks or bursts, causing bleeding in the brain tissue or near the surface of the brain.

Two types of weakened blood vessels usually cause hemorrhagic stroke, including:

  • aneurysm: ballooning of a weakened area of a blood vessel
  • arteriovenous malformations: cluster of abnormal blood vessels

A transient ischemic attack (TIA), also called a "mini stroke," is characterized by a short-term blood vessel obstruction or clot that tends to resolve itself quickly, usually within 10–20 minutes, or up to 24 hours. A TIA usually does not require intervention. However, a TIA is a strong indicator of an ischemic stroke and should be evaluated in the same way as a stroke to prevent a more serious attack.

In children, strokes can be categorized as:

  • prenatal stroke: occurring before birth
  • neonatal or perinatal stroke: occurring in infants less than 30 days old
  • pediatric or childhood stroke: occurring in children aged 15 and under

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