Many people mistakenly believe that stroke only occurs in the elderly, but according to experts, children and infants can also suffer from this disease.
Medical news on March 9: Children are also at risk of stroke; Study pressure can cause stomach perforation in young people
Many people mistakenly believe that stroke only occurs in the elderly, but according to experts, children and infants can also suffer from this disease.
Children are also at risk of stroke.
Information from Xanh Pon General Hospital said that the hospital had just successfully treated a 12-year-old patient who had suffered a stroke. The patient was admitted to the hospital in a state of fainting and drowsiness, with no history of abnormalities.
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| Cerebral infarction in children has a very high mortality rate. However, due to limited understanding of this disease, many cases have been misdiagnosed with other diseases, leading to delayed treatment. |
According to the family, while playing, the child suddenly had a sudden headache and the symptoms appeared quickly. Initially, the family thought the child just had a cold, and took him to the district hospital.
However, the doctor suspected a stroke and transferred the child directly to Xanh Pon General Hospital. Here, through a CT scan with contrast injection, the doctors determined that the child had a ruptured cerebral blood vessel due to a congenital cerebral arteriovenous malformation.
Immediately after the CT scan, the doctors had to perform vascular intervention. After 2 hours, the intervention was successful, the patient was stable and the vascular malformation was completely occluded. Currently, the child continues to be actively monitored.
Doctors at the Xanh Pon General Hospital said that recently, the hospital has continuously received many cases of children suffering from strokes, with many serious complications. Although many people think that strokes only occur in the elderly, in fact, children and infants are also at risk of this disease.
In adults, the cause of stroke is often related to diseases such as atherosclerosis, atrial fibrillation, high blood pressure and diabetes.
However, in children, stroke is often associated with cardiovascular diseases and vascular problems, the most common of which are arterial dissection, arteritis, and cerebral arteriovenous malformations. In addition, children with blood diseases may also experience hypercoagulability or hypocoagulability, contributing to an increased risk of stroke.
One of the main causes of stroke in children is a ruptured arteriovenous malformation, which is often present at birth. Arteriovenous malformations may not cause obvious symptoms, leaving many families unaware until the blood vessel ruptures and leads to hemorrhage. In addition, some cases of stroke in children may be related to genetic factors.
Associate Professor, Dr. Mai Duy Ton, Director of the Stroke Center (Bach Mai Hospital) said that we have treated many young stroke patients, including children under 15 years old.
A typical example is the case of a 9-year-old patient who suddenly experienced numbness and weakness on the left side of his body while he was at school.
The CT scan showed no damage, but the MRI showed a brain infarction. This shows that stroke can happen to anyone, young or old.
Stroke in children is a big challenge for doctors in diagnosing and recognizing the disease, especially for young children who cannot speak. When children have headaches, they can only cry, which makes diagnosis difficult and easily leads to delay, losing the opportunity for timely intervention.
Associate Professor, Dr. Mai Duy Ton warned that cerebral infarction in children has a very high mortality rate. However, due to limited understanding of this disease, many cases have been misdiagnosed with other diseases, leading to delayed treatment.
According to Dr. Nguyen Thi Minh Duc, Head of the Department of Neurology (Tam Anh General Hospital, Ho Chi Minh City), many people still think that stroke is only a disease of adults, but in reality, the rate of children or young people suffering from this disease, although not high, can still happen.
Many children with strokes are saved in time, but there are also many cases where they are left with sequelae or cannot be saved because they arrive at the hospital too late.
Dr. Duc further explained that children are usually brought to the emergency room between the ages of 9 and 12, but there are also children under one year old who suffer from it. Most strokes in children are caused by narrowing of the intracranial arteries, rupture of malformed blood vessels or congenital heart disease.
Therefore, rupture of a cerebral vascular malformation is the first cause to consider in diagnosing stroke in children. This is completely different from stroke in the elderly, when the common cause is a blockage causing cerebral infarction.
Stroke in children is a rare disease but not impossible. Full awareness of the risk factors and symptoms of stroke will help early detection and timely treatment, minimizing dangerous complications.
Detecting malignancy from a swelling in the head area
An 11-year-old boy (in Hanoi) was taken to the hospital by his family after discovering a small lump on his head. Although the lump was painless and did not show any suspicious signs, after examination, the doctor discovered that the boy had a rare malignant disease.
NMT (11 years old, in Hanoi) was taken by his family to a hospital in Hanoi for examination because a mass appeared in the head area.
According to the family, in October 2024, the child discovered a swelling about 1.5cm in size in the head area. The swelling was painless and showed no other abnormalities. During examination, the doctor discovered that the swelling was about 2x1cm in size, slightly firm but not painful. Ultrasound showed a mixed-sound lesion with clear boundaries, measuring 16mm x 7mm.
The blood test results were all within normal limits. Based on the initial signs, the doctor suspected that this was a benign fibrolipoma and could not rule out the possibility of a hematoma, so he did not intervene immediately but decided to monitor it.
However, after two months, the tumor grew larger and larger. The child was re-examined and the doctor decided to perform surgery to remove the entire tumor to determine the correct diagnosis. After surgery, the sample was sent to the Medlatec Pathology Center for examination.
At Medlatec, experts perform in-depth tests such as Histopathology and Immunohistochemistry using modern machinery. The analysis results of the experts show that the sample is consistent with the diagnosis of Myeloid Sarcoma.
Faced with this result, the baby's family was very confused and decided to send the sample for consultation at leading specialized hospitals such as K Hospital and the Central Institute of Hematology and Blood Transfusion. Here, the experts also agreed with Medlatec's conclusion that this was a myelosarcoma.
The patient was then transferred to the National Institute of Hematology and Blood Transfusion for further treatment.
Myeloid sarcoma is a rare disease that occurs when myeloid precursor cells, also known as myeloid cells, develop tumors outside the bone marrow. It is a type of blood cancer in which myeloid cancer cells (which form red blood cells, white blood cells, and platelets in the bone marrow) develop tumors in soft tissues or organs other than the bone marrow.
The disease is characterized by the presence of immature myeloid cells, which may be granulocytes, promyelocytes, or other immature granulocytes.
If not detected and treated promptly, Myeloid Sarcoma can spread to other organs such as the skin, lymph nodes, liver, spleen, soft tissue, bones and surrounding tissues. This development makes treatment more difficult.
Medlatec Healthcare System experts note that the symptoms of Myeloid Sarcoma can vary depending on the location of the tumor.
Common symptoms include pain, swelling in the area of the tumor, fatigue, weight loss, infection due to decreased white blood cells, easy bleeding or bruising. However, these symptoms can also be a manifestation of other diseases. Therefore, if there are any unusual signs, people should go to a reputable medical facility for examination, accurate diagnosis and timely treatment.
According to MSc. Truong Quoc Thanh, Deputy Director of Medlatec Pathology Center, Myeloid Sarcoma is often diagnosed through methods such as X-ray, MRI or CT scan to determine the location and size of the tumor.
In addition, histopathology and immunohistochemistry also help identify abnormal cells in the specimen.
For cases of Myeloid Sarcoma, depending on the severity of the disease, patients will be treated with methods such as chemotherapy, radiotherapy, or bone marrow transplantation (stem cell transplantation).
Academic pressure can cause stomach perforation in young people
Recently, dangerous digestive diseases at E Hospital have been increasing rapidly, especially cases of gastric and duodenal ulcers leading to perforation of hollow organs.
This is an extremely dangerous surgical emergency, if not treated promptly can cause infection, abdominal poisoning, multiple organ failure and even death. What is alarming is that the disease, which is common in middle-aged men, is now appearing more often in young people, even teenagers.
Recently, E Hospital received patient NHV (15 years old, Hanoi) with severe abdominal pain in the epigastric region, the pain spreading throughout the abdomen.
Previously, the patient was completely healthy, with no history of digestive disease. After clinical examination and ultrasound, doctors discovered free gas and fluid in the abdomen, typical signs of a perforated hollow organ.
The emergency doctors consulted and determined that the child had peritonitis due to a perforated ulcer in the anterior part of the duodenum. Immediately, the child underwent emergency laparoscopic surgery to suture the 5mm perforated duodenal hole and clean the abdominal cavity to avoid the risk of infection.
Thanks to timely treatment, the patient's health has gradually stabilized, but close monitoring and reasonable adjustment of diet and lifestyle are still needed to avoid recurrence.
NHV's case is just one of many young patients who have encountered dangerous complications due to gastric and duodenal ulcers.
Previously, this disease mainly occurred in men aged 35-65, but now the number of young patients hospitalized due to digestive problems is increasing.
The main causes pointed out by doctors are study pressure, prolonged stress, the habit of staying up late, unscientific eating habits, and the abuse of painkillers and anti-inflammatory drugs without a doctor's prescription. These factors irritate the stomach lining, increasing the risk of ulcers and perforation of hollow organs.
Dr. Nguyen Dinh Lien, Head of the Department of Nephrology, Urology and Andrology at E Hospital, said that perforated hollow organ is a dangerous surgical emergency with a high mortality rate if not treated promptly.
If surgery is not performed early, the patient may face serious complications such as peritonitis, abdominal infection, poisoning, multiple organ failure and direct threat to life.
To help people identify the disease early and avoid dangerous complications, doctors recommend that when there are signs such as dull or severe abdominal pain in the epigastric region (especially when hungry or after eating), belching, heartburn, nausea, bloating, prolonged digestive disorders, black or bloody stools, unexplained weight loss, prolonged fatigue... patients should not be subjective and should go to reputable medical facilities such as E Hospital for immediate examination.
Failure to treat promptly can lead to dangerous complications such as gastrointestinal bleeding, perforated viscera, peritonitis, and even death.
To prevent stomach and duodenal diseases and dangerous complications, doctors recommend that people, especially young people, need to adjust their lifestyle, study and work in moderation.
Doctors recommend that people develop a scientific diet, eat on time, limit eating late, staying up late, and avoid abusing painkillers or anti-inflammatory drugs. In addition, regular health check-ups are very important to detect digestive diseases early and prevent dangerous complications.
The condition of hollow viscus perforation due to gastric and duodenal ulcers is increasing rapidly in young people, especially due to study pressure and unhealthy lifestyle.
Timely detection and treatment can save the patient's life, but if subjective and not treated properly, dangerous complications can occur. Therefore, everyone needs to pay special attention to their digestive health, build a reasonable diet and lifestyle to protect long-term health.
Source: https://baodautu.vn/tin-moi-y-te-ngay-93-tre-nho-cung-co-nguy-co-dot-quy-ap-luc-hoc-tap-co-the-gay-gay-thung-da-day-o-gioi-tre-d251519.html
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