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Related Concept Videos

Information Processing Approach01:30

Information Processing Approach

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The information-processing theory of cognitive development centers on fundamental mental processes, including attention, memory, and problem-solving skills. Researchers in this field examine how cognitive abilities, such as working memory, evolve and influence children's overall development. Studies indicate that children with stronger working memory tend to excel in reading comprehension, math, and problem-solving compared to peers with less efficient memory skills. Low working memory is...
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Improving cognitive outcomes for pediatric stroke.

Mardee Greenham1, Vicki Anderson, Mark T Mackay

  • 1aClinical Sciences, Murdoch Childrens Research Institute bSchool of Psychological Sciences, University of Melbourne cDepartment of Psychology dDepartment of Neurology, Royal Children's Hospital eDepartment of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia.

Current Opinion in Neurology
|February 1, 2017
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Summary
This summary is machine-generated.

Pediatric stroke impacts cognition in up to half of survivors, affecting intelligence and executive functions. Children do not recover better than adults, and factors like stroke severity and comorbidities worsen outcomes.

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Area of Science:

  • Neurology
  • Pediatric Medicine
  • Neuroscience

Background:

  • Pediatric stroke prevalence has increased 35% in the last 20 years.
  • Contrary to popular belief, children do not exhibit superior recovery compared to adults after stroke.
  • Cognitive deficits are a significant concern for pediatric stroke survivors.

Purpose of the Study:

  • To review the impact of pediatric stroke on cognitive domains.
  • To explore factors influencing cognitive outcomes in children after stroke.
  • To highlight the need for better understanding and targeted rehabilitation strategies.

Main Methods:

  • Literature review of studies on pediatric stroke and cognitive outcomes.
  • Analysis of factors such as age at stroke, lesion characteristics, and comorbidities.
  • Synthesis of findings on intellectual, executive, memory, and behavioral functions.

Main Results:

  • Cognitive problems affect up to 50% of pediatric stroke survivors.
  • Impairments are noted in intelligence quotient (IQ), particularly in performance domains.
  • Executive functions, including attention and processing speed, are particularly vulnerable.
  • Poorer cognitive outcomes are associated with younger age at stroke, larger infarcts, cortical/subcortical lesions, epilepsy, and physical comorbidities.

Conclusions:

  • Pediatric stroke frequently leads to cognitive impairment, but specific deficits and predictors require further definition.
  • Understanding outcomes is crucial for developing targeted, age-specific rehabilitation strategies.
  • More research is needed to optimize cognitive recovery in pediatric stroke survivors.