Psychiatric Disorders After Childhood Stroke

Max, Jeffrey E.; Mathews, Katherine D.; Lansing, Amy E.; Robertson, Brigitte; Fox, Peter T.; Lancaster, Jack L.; Manes, Facundo; Smith, John H.

doi:10.1097/00004583-200205000-00013

Cited by 84 publications

(78 citation statements)

References 14 publications

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“…Several studies investigated whether lesion characteristics such as lesion volume, location or laterality or other neurological factors, such as the presence or absence of seizures, were associated with outcome. Family psychiatric history and neurological severity both independently predicted 89% of cases with psychiatric diagnoses in children with stroke [22]. Lesion laterality or volume did not differentiate children with stroke with and without psychiatric diagnoses.…”

Section: Factors Associated With Psychosocial Outcomementioning

confidence: 82%

“…Twenty-six studies did not recruit a control group but compared scores to published normative population data. Of the remaining ten that did recruit control participants, these included typically developing children as controls [20,8,21]; children with other non-neurological health conditions, such as orthopaedic and chronic asthma controls [22,23,24,25,26,21,8]; and some children with other neurodevelopmental conditions but without stroke, such as sickle cell disease controls [27] or malformations of cortical development [28]. The participant sample sizes in the studies ranged from fourteen children [28] to 163 children [2].…”

Section: Insert Figure 1 About Herementioning

confidence: 99%

“…However, the findings from this review indicate that even mild physical and functional deficits can result in recurring experiences of difficulties in adaptive behaviour and keeping up with peers [13,38,26] [9,21]. Following stroke, children and young people were reported to be impaired on adaptive behaviour, indicating ongoing functional concerns in the areas of self-care, play, school and leisure and frequently required more assistance and time with activities of daily living, practical tasks, mobility, school and social domains [33,45,19,22,40,32,26,50]. Evidence indicated long-term functional limitations into young adulthood, in terms of financial independence and independent living [47].…”

Section: Functional and Neurological Disability Outcomementioning

confidence: 99%

“…Just over 50% of their group had behavioural or cognitive symptoms at follow-up. A series of studies specifically assessed behaviour and psychiatric diagnoses in a group of 29 children with stroke [22,23]. Fifty-nine percent of their sample fulfilled diagnostic criteria for a psychiatric disorder, using two psychiatric rating scales.…”

Section: Behaviour and Moodmentioning

confidence: 99%

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Psychosocial outcome and quality of life following childhood stroke – A systematic review

O’Keeffe

Stark

Murphy

et al. 2017

Developmental Neurorehabilitation

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Objectives. The aim of this paper was to critically review the recent literature on psychosocial and behavioural outcome following childhood stroke, to assess whether quality of life is affected and to investigate the factors related to psychosocial outcome.Methods. Literature searches were conducted and identified 36 relevant papers from the period 1908-2016.Results. The systematic review found that many children experience difficulties in a wide range of psychosocial domains. Quality of life can also be significantly reduced. Inconsistent findings regarding the correlates of outcome are likely due to methodological limitations. These issues include small and heterogeneous samples, lack of control groups and measurement difficulties.Conclusions. This systematic review strongly indicates that childhood stroke can affect a myriad of psychosocial domains and a child's quality of life.Methodological issues, particularly around heterogeneous samples and measures, limit the conclusions that can be drawn regarding the predictors of outcome.

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Section: Factors Associated With Psychosocial Outcomementioning

confidence: 82%

Section: Insert Figure 1 About Herementioning

confidence: 99%

Section: Functional and Neurological Disability Outcomementioning

confidence: 99%

Section: Behaviour and Moodmentioning

confidence: 99%

See 2 more Smart Citations

Psychosocial outcome and quality of life following childhood stroke – A systematic review

O’Keeffe

Stark

Murphy

et al. 2017

Developmental Neurorehabilitation

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“…53,67 Motor deficits are most frequent, followed by communication disorders and neuropsychiatric, cognitive, and behavioural complications. 67,68,69,70,71 Epilepsy complicates at least 15% of childhood stroke, 72,67 hyperkinetic movement disorders may be disabling, 73,74 and headache disorders occur in one-third of cases. 67 Compared with AIS, outcome is generally better after CSVT.…”

Section: Outcomementioning

confidence: 99%

Therapeutic approaches and advances in pediatric stroke

Kirton

deVeber

2006

NeuroRX

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Summary:Evidence-based therapeutic interventions for pediatric ischemic cerebrovascular disease are beginning to emerge. The primary therapeutic target is usually the pathological prothrombotic disturbance that underlies the majority of pediatric stroke. A battle between anticoagulation and anti-platelet therapies continues to provide controversy and is the inspiration for upcoming randomized trials. Supportive care and neuroprotective strategies are an important consideration in children with stroke. Attempts to determine the safety of acute thrombolytic interventions are also underway. Finally, unique medical and surgical treatments for specific diseases leading to stroke in children continue to evolve. After briefly summarizing the epidemiology, pathophysiology, diagnosis, and outcomes of ischemic strokes in children, treatment approaches and alternatives will be reviewed in detail with emphasis placed on current areas of controversy and future directions for clinical research.

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Association of Perinatal and Childhood Ischemic Stroke With Attention-Deficit/Hyperactivity Disorder

et al. 2022

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Key Points Question Does the risk of attention-deficit/hyperactivity disorder (ADHD) increase after pediatric stroke, and is that risk associated with family history of ADHD, adverse motor outcomes, or comorbid epilepsy? Findings This nationwide cohort study of 1320 patients who had perinatal or childhood stroke and 13 141 matched controls found a 2-fold increased risk of ADHD after stroke. Development of adverse motor outcomes and/or epilepsy were associated with a further elevated risk in children with perinatal stroke. Meaning These findings suggest that children may face an increased risk of ADHD after stroke and that surveillance for ADHD should be considered by pediatricians performing follow-up of children with pediatric stroke.

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Psychiatric Disorders After Childhood Stroke

Cited by 84 publications

References 14 publications

Psychosocial outcome and quality of life following childhood stroke – A systematic review

Psychosocial outcome and quality of life following childhood stroke – A systematic review

Therapeutic approaches and advances in pediatric stroke

Association of Perinatal and Childhood Ischemic Stroke With Attention-Deficit/Hyperactivity Disorder

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