Perinatal XXXX : a five-year retrospective study in a level-III maternity.

@entity1 @entity410 @entity64 @entity51 @entity2143 @entity302 @entity50 @entity385
UNASSIGNED: Objective To study the incidence, clinical presentation, risk factors, imaging diagnosis, and clinical outcome of perinatal @entity64 . Methods Data was retrospectively collected from full-term newborns admitted to the neonatal unit of a level III maternity in Lisbon with @entity64 , from January 2007 to December 2011. Results There were 11 cases of @entity64 : nine were arterial @entity385 and two were @entity50 . We estimated an incidence of arterial @entity50 of 7.2/100,000 births. There were two cases of recurrent @entity64 . Eight @entity1 presented with symptoms while the remaining three were asymptomatic and incidentally diagnosed. The most frequently registered symptoms (8/11) were @entity410 ; in that, generalized clonic (3/8) and focal clonic (5/8). @entity64 were more commonly left-sided (9/11), and the most affected artery was the left middle cerebral artery (8/11). Transfontanelle ultrasound was positive in most of the @entity1 (10/11), and @entity64 was confirmed by cerebral magnetic resonance in all @entity1 . Electroencephalographic recordings were carried out in five @entity1 and were abnormal in three (focal abnormalities n=2, burst-suppression pattern n=1). Eight @entity1 had previously identified risk factors for @entity64 which included @entity2143 . Ten @entity1 were followed up at outpatients setting; four @entity1 developed @entity51 and one presented with @entity302 . Conclusions Although a modest and heterogeneous sample, this study emphasizes the need for a high level of suspicion when it comes to @entity64 , primarily in the presence of risk factors. The prevalence of neurological sequelae in our series supports the need of long-term follow-up and early intervention strategies.
