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Published on: April 28, 2016
[Preschool education impact on child development]
Insights
Presumed perinatal ischemic stroke can lead to congenital hemiparesis, often indicated by early hand preference before age one. This early handedness is a key warning sign for potential motor deficits in infants.
Area of Science:
- Neurology
- Pediatrics
- Developmental Neuroscience
Background:
- Presumed perinatal ischemic stroke (PPIS) is diagnosed retrospectively based on its long-term effects, not acute symptoms.
- Congenital hemiparesis is a common manifestation of PPIS, often presenting as early hand preference.
- Persistent handedness before one year of age is a critical indicator of potential motor sequelae.
Purpose of the Study:
- To review medical records of 15 PPIS cases.
- To determine the age of diagnosis and consultation.
- To identify the reasons for consultation and the age of handedness development.
Main Methods:
- Retrospective review of medical records for 15 patients diagnosed with PPIS.
- Analysis of consultation timing, reasons for seeking medical advice, and age of observed handedness.
- Correlation of early handedness with PPIS diagnosis and motor outcomes.
Main Results:
- Early hand preference before 12 months of age was a significant finding in the reviewed cases.
- The study assessed the typical age at which PPIS is diagnosed and the primary reasons for initial medical consultation.
- Data on the age of handedness development was collected to establish patterns related to PPIS.
Conclusions:
- Early and persistent hand preference in infants under one year is a crucial warning sign for presumed perinatal ischemic stroke.
- Prompt medical consultation is essential for timely diagnosis and management of potential motor sequelae.
- Understanding the timing of handedness development aids in identifying infants at risk for PPIS.
Abstract:
Presumed perinatal ischemic stroke is the term used for cases in which an old stroke is diagnosed by the consequences of it and not by the acute symptoms. Many presumed perinatal ischemic strokes have congenital hemiparesis as the first manifestation, which is usually noticed between the fourth and eighth month of life as early hand preference. That is why the clear and persistent handedness developed before one year of age must be assumed as a warning sign of probable motor sequelae. In this paper we review the medical records of 15 cases of presumed perinatal ischemic stroke to assess the age at which the consultation led to the diagnosis, reason for consultation and age at development of handedness.
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