AETIOLOGICAL FEATURES, MEDICAL FEATURES CONSEQUENCE AND NERVOUS FIGURING IN OFFSPRING WITH ISCHEMIC BLOW

Aim: Inspect the aetiological features, medical features, neuro-radiological outcomes in infants and offspring with ischaemia blow is the main objective of this topic.

Place and Duration: In the Pediatric Splanchnology department of Lahore General Hospital Lahore for one-yrs duration from December 2017 to December 2019. This is an expressive research.

Method: People with evidence of myocardial atheroma were examined for medical features, etiologic features and outcomes. People with nervous contamination, trauma, brain tumor and abscess were excluded from the research. SPSS 18 software was used for Statistics analysis. The research included offspring with weakness, sensory convulsions or any focal deficit. All these offspring underwent computed tomography.

Outcomes: Sixteen (53%) were among 6 and 12 yrs old, 12 (40%) were among 2 and 5 yrs old, and only 2 (6.5%) was less than one yrs old. The research included 30 victims. The age range was from two months to twelve yrs. The male-female ratio was among 3.5 and 1. The medical picture was examined and 29 (96.7%) victims with hemipheresis were found. Aetiological features were detected in 12 victims (40%), most of them had cardiac pathology, i.e. 10 (33.5%). There were 2 (6.6%) victims with protein C and S deficiency and no predisposing factor was detected in 18 (60%) victims. Thirteen (43%) were hectic at the time of application. There were seven (23%) difficulty swallowing, 4 (13.4%) headaches and only 3 (10%) vision problems. Fifteen offspring (56%) had facial weakness. While 16 (53.4%) victims had convulsions, 11 (13%) were unconscious. Complications were also studied in these victims. Eighteen victims (60%) had seizures. Central brainy Vein atheroma was more common in 19 cases (63.4%). Anterior brainy atheroma was in 4 (13.4%), and only 2 (6.7%) had posterior brainy atheroma. Weight loss was observed in 11 victims (36.7%). Nine (30%) developed mild or severe chest contaminations, and 10 (33.4%) later developed urinary tract contamination. Ten (33.4%) victims gave good outcomes, 14 victims (46.7%) had moderate disability, and 4 victims (13.4%) had severe disability, 2 (6.7%) died. The result was tested using Glasgow Coma Scale.

Conclusion: Every effort should be made to diagnose and treat congenital heart sickness as soon as possible. Ischaemia blow has been found to be not uncommon in Pakistani offspring. Heart sickness is the most important and avoidable factor predisposing to ischaemia blow. Computed tomography turned out to be a very useful and sensitive test in the conclusion of ischaemia atheroma. Middle brainy Vein atheroma is the most common atheroma. . Because this is a hospital trial and may not represent a general pediatric age group, large-scale population studies for the future should be planned. Although the mortality rate was low, the survival rate among survivors was quite high. If possible, brain figuring should be performed in offspring with suspected blow

Key words: computed tomography, ischaemia blow and offspring.