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Impairments of Visuospatial Attention in Children with Unilateral Spastic Cerebral Palsy

Gaétan Ickx1, Samar M Hatem1,2,3, Inmaculada Riquelme4,5

  • 1Institute of Neuroscience, Université catholique de Louvain Brussels, Belgium.

Neural Plasticity
|January 17, 2019
PubMed

Insights

Visuospatial attention deficits are common in children with unilateral spastic cerebral palsy (USCP). These deficits impact rehabilitation and may influence motor impairments, highlighting the need for targeted interventions.

Area of Science:

  • Neuroscience
  • Developmental Pediatrics
  • Rehabilitation Medicine

Background:

  • Unilateral spastic cerebral palsy (USCP) often involves motor impairments.
  • The role of visuospatial attention deficits in USCP is not fully understood.
  • Understanding these deficits is crucial for comprehensive patient care.

Purpose of the Study:

  • To determine the prevalence of visuospatial attention deficits in children with USCP.
  • To investigate the relationship between affected hemibody, brain lesion location, and attention deficits.
  • To inform rehabilitation strategies for children with USCP.

Main Methods:

  • Observational study including 75 children with USCP.
  • Assessment using four standardized visuospatial attention tests.
  • Analysis correlated performance with affected side and brain lesion characteristics.

Main Results:

  • A significant majority (64%) of children with USCP exhibited visuospatial attention deficits.
  • Left USCP was associated with egocentric neglect; right USCP with allocentric neglect.
  • Cortico/subcortical lesions were linked to higher rates of deficits than periventricular lesions, though location was not definitively associated.

Conclusions:

  • Visuospatial attention deficits are highly prevalent in children with USCP.
  • These deficits significantly impact motor function and rehabilitation outcomes.
  • Clinical assessment and rehabilitation should address visuospatial attention in USCP management.
Abstract

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