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Updated: Aug 21, 2026

Evaluation of the Cognitive Performance of Hypertensive Patients with Silent Cerebrovascular Lesions
Published on: April 23, 2021
[Language evaluation in children with bilateral cerebrovascular disease: study of two cases]
Karina Tamarozzi de Oliveira1, Maria Valeriana Leme Moura-Ribeiro, Sylvia Maria Ciasca
1Departamento de Neurologia, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas SP, Brazil. katamarozzi@hotmail.com
Insights
This study followed two children with bilateral cerebrovascular disease (CVD). Findings show language recovery in one child, with subtle alterations in the other, highlighting individualized assessment needs.
Area of Science:
- Pediatric Neurology
- Neurodevelopmental Disorders
- Speech-Language Pathology
Background:
- Bilateral cerebrovascular disease (CVD) can impact neurodevelopment in children.
- Early identification and intervention are crucial for managing acquired neurological conditions.
- Understanding the long-term effects of CVD on language development is essential.
Observation:
- Two pediatric cases with bilateral cerebrovascular disease (CVD) were assessed using phonoaudiological and neurological evaluations.
- Audiologic Assessment, Protocol for Infant Language Assessment, and Peabody Picture Vocabulary Test were employed.
- Clinical and imaging confirmed CVD in the acute phase.
Findings:
- One child demonstrated complete recovery from acquired language disturbance.
- The second child exhibited subtle alterations in language and learning processes.
- Individualized, quantitative, and qualitative analysis is critical for accurate assessment.
Implications:
- Cerebrovascular disease (CVD) outcomes in children necessitate tailored therapeutic approaches.
- Early phonoaudiological intervention can mitigate long-term language deficits.
- Further research is needed to elucidate the varied impacts of pediatric CVD on cognitive and linguistic development.
Abstract:
We describe two children, aging 5 years and 6 months and 5 years and 10 months respectively, when the phonoaudiological assessment was conducted. Both children presented bilateral cerebrovascular disease (CVD), confirmed in the acute phase by means of clinical and image neurological test. During this phase, the two patients were examined by a pediatric neurologist of the Pediatric Neurology Discipline of FCM/UNICAMP, pediatric CVD ambulatory. Audiologic Assessment, Protocol for Infant Language Assessment, and Peabody Picture Vocabulary Test were used in the evaluations. The qualitative analysis of the two subjects from a phonoaudiological and neurological point of view has shown the recovery of adquired language disturbance with no influence whatsoever in the development of the first subject and subtle language and/or learning process alterations for the second subject. The cases study has revealed that the predominant aspects should be analyzed in an individual, quantitative, and qualitative basis to lead to conclusive findings.
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