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NEUROLOGY 1978;28:763
© 1978 American Academy of Neurology

Cerebrovascular disease in infants and children

A study of incidence, clinical features, and survival

Bruce S. Schoenberg, M.D., M.P.H., James F. Mellinger, M.D. and Devera G. Schoenberg, M.S.

Section on Epidemiology, National Institute of Neurological and Communicative Disorders and Stroke, National Institutes of Health, Bethesda (Dr. Schoenberg); the Department of Neurology, Georgetown University School of Medicine, Washington, D.C. (Dr. Schoenberg); and the Section of Pediatric Neurology, Department of Neurology, Mayo Clinic, Rochester, Minnesota (Dr. Mellinger).

A 10-year review of the Mayo Clinic experience with childhood cerebrovascular disease unrelated to birth, intracranial infection, or trauma identified 69 patients (38 with ischemic stroke, and 31 with subarachnoid or intracerebral hemorrhage). Although children with cerebral infarction had better survival, they experienced more residual disability than children with cerebral hemorrhage. The medical records-linkage system for Rochester, Minnesota residents made it possible for the first time to study cerebrovascular disease in a well-defined childhood population. Records from all medical facilities serving this population (average of 15,834 resident children) showed four strokes over 10 years (average annual incidence rate of 2.52 cases per 100,000 per year).

Reprint requests should be addressed to Dr. Schoenberg, Section on Epidemiology, OBE, OD, NINCDS, NIH, Room 7C10, Federal Building, 7550 Wisconsin Avenue, Bethesda, MD 20014.

Presented at the twenty-eighth annual meeting of the American Academy of Neurology, April 29-May 1, 1976, Toronto.

Accepted for publication August 16, 1977.




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