Factors affecting cognitive outcome in early pediatric stroke.

Détails

ID Serval
serval:BIB_35B7EDEBB0B3
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Factors affecting cognitive outcome in early pediatric stroke.
Périodique
Neurology
Auteur⸱e⸱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
Statut éditorial
Publié
Date de publication
2014
Peer-reviewed
Oui
Volume
82
Numéro
9
Pages
784-792
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't Publication Status: ppublish
Résumé
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.
Mots-clé
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
Création de la notice
30/05/2014 18:05
Dernière modification de la notice
20/08/2019 13:23
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