Recovery from spatial neglect and hemiplegia in a child despite a large anterior circulation stroke and wallerian degeneration

Jonathan T. Kleinman, Philippe Gailloud, Lori C. Jordan

Research output: Contribution to journalArticlepeer-review

Abstract

Prognosis after stroke in children is difficult given the paucity of literature regarding motor and cognitive recovery. Spatial neglect has been described in children after stroke, yet little evidence exists to guide clinicians and parents regarding its resolution. Wallerian degeneration on magnetic resonance imaging (MRI) suggests poor recovery in neonates and adults. We report near complete resolution of spatial neglect in 4 weeks and significant improvement in hemiplegia in a 9-year-old boy with a right anterior cerebral artery and middle cerebral artery infarction, despite Wallerian degeneration apparent on diffusion-weighted imaging. Serial assessment of neglect documenting the rapid course of recovery is the unique feature of this case and may help serve as a guide to pediatricians and neurologists in assessment of young patients and counseling of parents. The lack of published outcome data suggests a need for larger studies about the recovery of spatial neglect and other cognitive symptoms following pediatric stroke.

Original languageEnglish (US)
Pages (from-to)500-503
Number of pages4
JournalJournal of child neurology
Volume25
Issue number4
DOIs
StatePublished - Apr 2010

Keywords

  • Spatial neglect
  • Stroke recovery
  • Wallerian degeneration

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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