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Language outcome after perinatal stroke: does side matter?

Angela O Ballantyne1, Amy M Spilkin, Doris A Trauner

  • 1Department of Neuroscience, School of Medicine, University of California-San Diego, 9500 Gilman Drive, La Jolla, CA 92093, USA. aballant@crl.ucsd.edu

Child Neuropsychology : a Journal on Normal and Abnormal Development in Childhood and Adolescence
|September 14, 2007
PubMed
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Children with perinatal strokes show impaired language skills, regardless of brain hemisphere affected. Seizures significantly worsen language outcomes in these children.

Area of Science:

  • Neuroscience
  • Developmental Psychology
  • Pediatric Neurology

Background:

  • Perinatal strokes can lead to early focal brain lesions.
  • These lesions may impact neurodevelopmental outcomes, including language.
  • Structured language skills are crucial for academic and social success.

Purpose of the Study:

  • To investigate structured language abilities in school-age children with perinatal stroke-related brain lesions.
  • To compare language skills between children with left hemisphere (LH) and right hemisphere (RH) damage.
  • To identify factors influencing language outcomes in this population.

Main Methods:

  • Utilized the Clinical Evaluation of Language Fundamentals-Revised (CELF-R) to assess language skills.
  • Analyzed receptive, expressive, and total language scores.

Related Experiment Videos

  • Compared scores between 28 children with early focal brain lesions and 57 control participants.
  • Main Results:

    • Children with LH or RH damage performed significantly worse than controls on all language measures.
    • No significant differences were found between LH and RH groups.
    • Seizure occurrence was associated with significantly poorer language performance compared to non-seizure cases.

    Conclusions:

    • Early focal brain lesions from perinatal strokes adversely affect structured language abilities.
    • Lesion laterality, site, or severity did not significantly impact language outcomes.
    • Seizure activity is a critical factor influencing language prognosis in children with perinatal brain lesions.