Attention function after childhood stroke

Jeffrey E Max; Donald A Robin; H Gerry Taylor; Keith O Yeates; Peter T Fox; Jack L Lancaster; Facundo F Manes; Katherine Mathews; Shannon Austermann

doi:10.1017/S1355617704107066

Journal article

Attention function after childhood stroke

Jeffrey E Max, Donald A Robin, H Gerry Taylor, Keith O Yeates, Peter T Fox, Jack L Lancaster, Facundo F Manes, Katherine Mathews and Shannon Austermann

Journal of the International Neuropsychological Society, Vol.10(7), pp.976-986

11/2004

DOI: 10.1017/S1355617704107066

PMID: 15803561

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Abstract

We investigated attentional outcome after childhood stroke and orthopedic diagnosis in medical controls. Twenty-nine children with focal stroke lesions and individually matched children with clubfoot or scoliosis were studied with standardized attention and neuroimaging assessments. Stroke lesions were quite varied in location and commonly involved regions implicated in Posner's model of attention networks. Children with stroke lesions performed significantly more poorly regarding attention function compared with controls. Performance on the Starry Night, a test demanding alerting and sensory-orienting but not executive attention function, was significantly associated with lesion size in the alerting and sensory-orienting networks but not the executive attention network. Furthermore, earlier age at lesion acquisition was significantly associated with poorer attention function even when lesion size was controlled. These findings support the theory of dissociable networks of attention and add to evidence from studies of children with diffuse and focal brain damage that early insults are associated with worse long-term outcomes in many domains of neuropsychological function. In addition, these results may provide clues towards the understanding of mechanisms underlying attention in children.

Magnetic Resonance Imaging

Cues

Cross-Sectional Studies

Intelligence

Stroke - psychology

Humans

Child, Preschool

Male

Psychomotor Performance - physiology

Social Class

Neuropsychological Tests

Attention - physiology

Nerve Net

Adolescent

Age of Onset

Female

Child

Details

Title: Subtitle: Attention function after childhood stroke
Creators: Jeffrey E Max - Children's Way, MC# 5033, University of California, San Diego, CA 92123, USA. jmax@ucsd.edu
Donald A Robin
H Gerry Taylor
Keith O Yeates - Nationwide Children's Hospital
Peter T Fox
Jack L Lancaster
Facundo F Manes
Katherine Mathews
Shannon Austermann
Resource Type: Journal article
Publication Details: Journal of the International Neuropsychological Society, Vol.10(7), pp.976-986
DOI: 10.1017/S1355617704107066
PMID: 15803561
NLM abbreviation: J Int Neuropsychol Soc
ISSN: 1355-6177
eISSN: 1469-7661
Publisher: England
Grant note: K-08 MH 01800-04 / NIMH NIH HHS 5 P02 MH52176-07 / NIMH NIH HHS
Language: English
Date published: 11/2004
Academic Unit: Neurology; Psychiatry; Stead Family Department of Pediatrics; Iowa Neuroscience Institute; Neurology (Pediatrics)
Record Identifier: 9984020797702771

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