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Childhood Stroke and Vision: A Review of the Literature

Lauren B Crawford1, Meredith R Golomb1

  • 1Division of Pediatric Neurology, Department of Neurology, Indiana University School of Medicine, Riley Hospital for Children, Indianapolis, Indiana.

Pediatric Neurology
|March 13, 2018
PubMed

Insights

Visual deficits are common after perinatal and childhood stroke, with visual field defects being most frequent. While some vision recovery is possible, more research is needed for effective assessment and treatment.

Area of Science:

  • Neurology
  • Ophthalmology
  • Pediatrics

Background:

  • Visual deficits are common after adult stroke but less understood in pediatric populations.
  • Existing literature often focuses on preterm infants or other brain injuries.
  • This review addresses visual outcomes in term infants and children post-stroke.

Purpose of the Study:

  • To review current literature on visual outcomes after perinatal and childhood stroke.
  • To summarize visual deficits and predictors of outcome in affected children.
  • To identify gaps for future research in pediatric stroke vision.

Main Methods:

  • Conducted Ovid MEDLINE searches.
  • Included terms on visual testing, childhood stroke vision, neuroplasticity, and treatment.
  • Focused on visual outcomes in term infants and children.

Main Results:

  • Visual field defects are the most commonly reported deficits.
  • Literature is sparse, primarily case reports and series.
  • Children experience significant visual morbidity but show potential for recovery.

Conclusions:

  • Limited literature available, highlighting a significant research gap.
  • Most children regain some vision despite severe deficits.
  • Further research is crucial for visual assessment, long-term outcomes, recovery predictors, and treatments.
Abstract

Keywords:
childhood strokedrivingneonatal strokeoutcomesperinatal stroketreatmentvisionvisual impairment

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