Randomized trial examines cognitive impairment in children after ischemic or hemorrhagic stroke, highlighting hemispheric variations.
Key Points
To analyze cognitive impairments resulting from ischemic and hemorrhagic strokes in children, comparing left and right hemisphere lesions.
Examined 23 children aged 1–17 years with strokes: 12 with left-hemispheric and 11 with right-hemispheric lesions.
Conducted MRI, EEG, and neuropsychological testing to assess cognitive function.
Documented 15 ischemic strokes (65%) and 8 hemorrhagic strokes (35%).
Identified cognitive impairment in 17 children (74% of participants): mild in 5 (22%), moderate in 8 (35%), and severe in 4 (17%).
Hemispheric differences: cognitive deficits were significantly more frequent in children with hemorrhagic stroke (87%) compared to those with ischemic stroke (67%).