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Verbal learning and memory after childhood stroke.

Amy E Lansing1, Jeffrey E Max, Dean C Delis

  • 1University of California, San Diego, USA.

Journal of the International Neuropsychological Society : JINS
|August 26, 2004
PubMed
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Pediatric stroke impairs verbal learning and memory (VLM). Early strokes cause worse recall and recognition, unlike adult strokes where hemisphere location matters.

Area of Science:

  • Neuroscience
  • Pediatric Neurology
  • Cognitive Psychology

Background:

  • Pediatric stroke affects cognitive functions, including verbal learning and memory (VLM).
  • Understanding VLM deficits is crucial for targeted interventions in children with stroke.
  • Previous research often focused on adult stroke, leaving pediatric VLM profiles less characterized.

Purpose of the Study:

  • To characterize verbal learning and memory (VLM) in children with a history of stroke.
  • To compare VLM performance between pediatric stroke survivors and healthy controls.
  • To investigate the impact of lesion hemisphere and timing on VLM in pediatric stroke.

Main Methods:

  • Cross-sectional neuropsychological and neuroimaging study.
  • 26 pediatric stroke subjects (ages 5-17) and 26 matched orthopedic controls.

Related Experiment Videos

  • Utilized California Verbal Learning Test-Children (CVLT-C), IQ tests, and Digit Span for VLM, intellectual functioning, and auditory attention assessment.

    • Main Results:

    • Stroke subjects showed significantly lower VLM, IQ, and auditory attention/working memory scores compared to controls.
    • No significant VLM differences were found between left- and right-hemisphere lesions.
    • Early strokes (<12 months) were linked to poorer delayed recall, reduced recognition discriminability, and worse auditory attention.

    Conclusions:

    • Pediatric stroke survivors exhibit significant verbal learning and memory impairments compared to peers.
    • Early-onset pediatric strokes are associated with more severe recall and recognition deficits.
    • Unlike adult stroke, lesion hemisphere does not significantly impact VLM outcomes in pediatric stroke survivors.