Abstract

Resume Vascular pathology of childhood, especially in the early stages, is still difficult to study due to the fact that there are difficulties in diagnosis, differential diagnosis, which means that there are difficulties in the treatment and rehabilitation of children who have had this acute disorder. The aim of the scientific work is to analyze the lethal outcomes of stroke in children depending on the type and age of stroke. Materials and methods of the study were the data of 364 patients in the acute period of stroke within the framework of the scientific and applied project ADSS 15.23.4 "Development of pathogenetic methods for diagnosing strokes in young children and optimization of the principles of therapy" (2015- 2015). 2017). The collection of clinical material was carried out on the basis of City Clinical Hospital No. 1. The age of children ranged from the 1st day of life to 18 years. The main group of cerebral strokes, depending on the type, was divided into ischemic, hemorrhagic, as well as a group with cerebral venous sinus thrombosis (CVS) complicated by hemorrhage. Authors' conclusions: - The first clinical manifestations of hemorrhages are nonspecific, their development is gradual, which makes it difficult to objectively assess the severity of the child's condition. Anxiety, vomiting, convulsions, refusal of the breast are often regarded not only by parents, but also by doctors as an abdominal syndrome characteristic of this period, convulsions are not always adequately recognized. - If other pathologies are not confirmed, especially in the presence of aggravating factors, it is necessary to check the presence or absence of disorders in the blood coagulation system in children. This will be an effective measure for the timely prevention of any form of early stroke.