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Executive function following pediatric stroke. A systematic review.

Carlotta Rivella1, Paola Viterbori1

  • 1Department of Educational Science, University of Genoa , Genoa, Italy.

Child Neuropsychology : a Journal on Normal and Abnormal Development in Childhood and Adolescence
|September 24, 2020
PubMed
Summary
This summary is machine-generated.

Pediatric strokes impact executive function (EF), particularly inhibition. Early assessment of EF difficulties in children after stroke is crucial for targeted interventions and preventing secondary issues like learning problems.

Keywords:
Executive functioncognitive outcomeinhibitionpediatric strokeshiftingworking memory

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Area of Science:

  • Neuroscience
  • Pediatric Neurology
  • Cognitive Psychology

Background:

  • Pediatric strokes, though rare, can cause significant neuropsychological impairment.
  • Cognitive outcomes, unlike motor deficits, are complex to define after childhood stroke.
  • Research is increasingly focusing on specific cognitive processes affected by pediatric stroke.

Purpose of the Study:

  • To review the impact of pediatric strokes on executive function (EF).
  • To explore the relationship between executive functioning and clinical factors post-stroke.
  • To highlight the importance of assessing EF in children after stroke.

Main Methods:

  • A systematic literature search was conducted using PsycInfo, PsycArticles, and PubMed.
  • 142 studies were identified, with 22 meeting the inclusion criteria for the review.
  • The review synthesized findings on executive function outcomes and associated clinical factors.

Main Results:

  • Childhood and perinatal strokes demonstrably affect executive function, especially inhibition.
  • The relationship between clinical factors and executive function outcomes remains inconsistent across studies.
  • Inhibition was identified as a key executive function domain affected by pediatric stroke.

Conclusions:

  • Assessing executive function after pediatric stroke is essential for early intervention.
  • Identifying EF difficulties can prevent secondary problems such as behavioral and learning issues.
  • Further research is needed to clarify clinical predictors and develop targeted EF interventions.