[Formula: see text]Working memory outcomes following unilateral arterial ischemic stroke in childhood

Amanda Fuentes1,2, Robyn Westmacott2, Angela Deotto1

  • 1a Department of Psychology , York University , Toronto , Canada.

Insights

Children with arterial ischemic stroke (AIS) show impaired working memory (WM) compared to peers. Parent reports also indicate higher WM dysfunction rates in pediatric AIS survivors, highlighting the need for ongoing monitoring.

Area of Science:

  • Pediatric Neurology
  • Neuropsychology
  • Cognitive Neuroscience

Background:

  • Limited research exists on working memory (WM) deficits in pediatric arterial ischemic stroke (AIS) survivors.
  • Understanding cognitive outcomes like WM is crucial for this population.
  • Pediatric AIS can impact brain development and function.

Purpose of the Study:

  • To assess and compare working memory (WM) patterns in children with and without a history of unilateral pediatric AIS.
  • To identify the prevalence of WM impairment in pediatric AIS survivors.
  • To investigate parent-reported WM dysfunction in this cohort.

Main Methods:

  • Utilized Baddeley and Hitch's multi-component WM model.
  • Assessed 32 children (aged 6-14) with unilateral AIS and 32 age-matched controls.
  • Collected performance-based and parent-report data on WM functioning.

Main Results:

  • Children with pediatric AIS demonstrated significantly compromised WM compared to controls.
  • Parent reports confirmed higher rates of WM dysfunction in the AIS group (50%) versus controls (15.63%).
  • Performance-based measures showed impairment in 31.25%-38.70% of AIS children versus 0%-21.88% of controls.

Conclusions:

  • Pediatric AIS is associated with significant working memory (WM) impairments.
  • WM challenges may be subtle and go undetected without specific assessment and monitoring.
  • Continued follow-up is recommended for pediatric AIS survivors at risk for WM deficits.