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Pediatric unilateral spatial neglect: A systematic review.

Emerson Hart1, Emily Grattan2,3, Michelle Woodbury1,4

  • 1Department of Health Science and Research, College of Health Professions, Medical University of South Carolina, Charleston, SC, USA.

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Summary

Unilateral spatial neglect (USN) in children after stroke is poorly understood, with limited research on assessment and treatment. More studies are needed to improve care for pediatric stroke survivors with USN.

Keywords:
Stroke (MeSH)neglectpediatrics (MeSH)perceptual disorders (MeSH)

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Area of Science:

  • Pediatric Neurology
  • Neurorehabilitation
  • Clinical Psychology

Background:

  • Unilateral spatial neglect (USN) is common in adult stroke survivors, impacting outcomes.
  • USN in pediatric stroke survivors is less understood, with unclear long-term effects.
  • This review addresses the knowledge gap in pediatric USN.

Purpose of the Study:

  • To systematically review and evaluate existing literature on USN in pediatric stroke survivors.
  • To summarize the clinical presentation, assessment, and treatment of USN in children.
  • To identify gaps in research and inform future clinical practice.

Main Methods:

  • Systematic literature search using PRISMA guidelines across major databases (PubMed, Scopus, CINAHL).
  • Inclusion criteria focused on participants aged 0-18 years with stroke and USN.
  • Data extraction covered USN presentation, assessment, treatment, and recovery.

Main Results:

  • 18 articles met inclusion criteria; no current prevalence data were found.
  • Pediatric USN presentation resembles adult USN.
  • Limited data exist on treatment options, and full recovery is not guaranteed for all children.

Conclusions:

  • A significant lack of high-quality research hinders effective assessment and treatment of pediatric USN.
  • Standardized assessment and treatment guidelines for pediatric USN are absent.
  • There is an urgent need for clinician education on pediatric USN, its presentations, and management strategies.