What is Unique about Stroke in Children and Newborns?

Pediatric stroke is NOT the same as adult stroke. As a child grows, the brain develops at a remarkable rate—especially during infancy. During this time, neurons are creating, destroying, strengthening, and weakening connections amongst themselves. These connections, or synapses, create functional units that allow humans to do all that we do. The types and ways in which synapses form are influenced by infants’ experience and biology. The brain’s ability to actively change in response to different environmental factors is called plasticity. Plasticity is particularly important when thinking about pediatric stroke. The brain’s more generous plasticity during childhood allows it to respond quickly and effectively to the consequences of stroke—thereby ensuring that brain development and functions continue normally. While adult brains are capable of plasticity as well, it is often more difficult for the brain to respond as effectively to such traumas.

Newborns and Infants

If your newborn has been diagnosed with a stroke, close monitoring, control of seizures and evaluations are necessary to prevent further injury to the brain and optimize the changes of his/her neurological development and recovery. It is very important that your baby is evaluated by a Pediatric/Perinatal Stroke Team as soon as possible. You can request to speak with the specialist in the hospital you are at, request a transfer to a hospital with pediatric stroke services.

Children

All patients with symptoms of stroke, regardless of age, need to be assessed immediately by health-care professionals. The most common signs and symptoms of stroke include the sudden appearance of:

  • Weakness or numbness of the face, arm or leg, usually on one side of the body
  • Trouble walking due to weakness or trouble moving one side of the body, or due to loss of coordination
  • Problems speaking or understanding language, including slurred speech, trouble trying to speak, inability to speak at all, or difficulty in understanding simple directions
  • Severe headache especially with vomiting and sleepiness
  • Trouble seeing clearly in one or both eyes
  • Severe dizziness or loss of coordination that may lead to losing balance or falling
  • New appearance of seizures, especially if affecting one side of the body and followed by paralysis on the side of the seizure activity
  • Combination of progressively worsening non-stop headache, drowsiness and repetitive vomiting, lasting days without relief
  • Complaint of sudden onset of the “worst headache of my life”

Signs of Stroke in Newborns and Infants

All patients with symptoms of stroke, regardless of age, need to be assessed immediately by health-care professionals. The most common signs and symptoms of stroke include the sudden appearance of:

  • Seizures
  • Extreme sleepiness
  • A tendency to use only one side of their body
  • When stroke affects a newborn infant, symptoms may not appear until 4 to 6 months of age in the form of decreased movement or weakness of one side of the body.