Improving cognitive outcomes for pediatric stroke
Mardee Greenham, Vicki Anderson, Mark T Mackay
CURRENT OPINION IN NEUROLOGY | LIPPINCOTT WILLIAMS & WILKINS | Published : 2017
PURPOSE OF REVIEW: The past 20 years have seen a 35% increase in prevalence of pediatric stroke. Contrary to widely held views, children do not recover better than adults. This review explores the impact of pediatric stroke on cognitive domains, including intellectual and executive functions, memory and behavior, and the influence of age, lesion characteristics, and comorbidities on outcome. RECENT FINDINGS: Cognitive problems occur in up to half of ischemic and hemorrhagic stroke survivors. Single-center studies have shown intelligence quotient scores skewed to the lower end of the average range, with greater impairment in performance than verbal domains. Executive function, such as attenti..View full abstract
The study was supported by Murdoch Childrens Research Institute, NHMRC senior practitioner fellowship (V.A.), Stroke Foundation (Australia) & Victorian Government Operational Infrastructure Scheme.