Factors affecting cognitive outcome in early pediatric stroke.

Details

Serval ID
serval:BIB_35B7EDEBB0B3
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Factors affecting cognitive outcome in early pediatric stroke.
Journal
Neurology
Author(s)
Studer M., Boltshauser E., Capone Mori A., Datta A., Fluss J., Mercati D., Hackenberg A., Keller E., Maier O., Marcoz J.P., Ramelli G.P., Poloni C., Schmid R., Schmitt-Mechelke T., Wehrli E., Heinks T., Steinlin M.
ISSN
1526-632X (Electronic)
ISSN-L
0028-3878
Publication state
Published
Issued date
2014
Peer-reviewed
Oui
Volume
82
Number
9
Pages
784-792
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't Publication Status: ppublish
Abstract
OBJECTIVE: We examined cognitive performance in children after stroke to study the influence of age at stroke, seizures, lesion characteristics, neurologic impairment (NI), and functional outcome on cognitive outcome.
METHODS: This was a prospectively designed study conducted in 99 children who sustained an arterial ischemic stroke (AIS) between the age of 1 month and 16 years. All children underwent cognitive and neurologic follow-up examination sessions 2 years after the insult. Cognitive development was assessed with age-appropriate instruments.
RESULTS: Although mean cognitive performance was in the lower normative range, we found poorer results in subtests measuring visuoconstructive skills, short-term memory, and processing speed. Risk factors for negative cognitive outcome were young age at stroke, seizures, combined lesion location (cortical and subcortical), as well as marked NI.
CONCLUSIONS: We recommend that all children with a history of AIS undergo regularly scheduled neuropsychological assessment to ensure implementation of appropriate interventions and environmental adjustments as early as possible.
Keywords
Adolescent, Brain Ischemia/complications, Brain Ischemia/psychology, Child, Child, Preschool, Cognition, Cognition Disorders/diagnosis, Cognition Disorders/etiology, Female, Humans, Infant, Longitudinal Studies, Male, Memory, Neuropsychological Tests, Risk Factors, Stroke/complications, Stroke/psychology
Pubmed
Web of science
Create date
30/05/2014 19:05
Last modification date
20/08/2019 14:23
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