Social and affective impairments are important recovery after acquired stroke in childhood.
Despite a congenital stroke, overall intelligence at school age is generally within the normal range. Language acquisition problems are more prominent when children are younger (<5 years of age) than when they are older. They are present after both right and left lesions, but appear to have different features. They are less apparent than in the child with a developmental language disorder. Acquired aphasia in childhood results in subtle and often persisting deficits. Children with congenital strokes are at risk for behavioral and psychiatric problems. Those with congenital right hemisphere strokes appear to be more difficult infants, but there is no clear side of lesion effect in older children. Children with congenital right hemisphere strokes have more prominent spatial difficulties than their left lesion counterparts. Evaluating both the process and the product highlights this. Increasing the difficulty of the task often brings out deficits in the right lesion group even when they seemingly recovered.
Nass
Ruth D
RD
Department of Neurology, New York University Medical Center, New York, NY, USA.
Trauner
Doris
D
D002648:Child; D003072:Cognition Disorders / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D019964:Mood Disorders / Q000209:etiology* / Q000523:psychology*; D009483:Neuropsychological Tests; D020127:Recovery of Function; D012720:Severity of Illness Index; D012919:Social Behavior; D020521:Stroke / Q000150:complications*