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Attention function after childhood stroke

Published online by Cambridge University Press:  01 November 2004

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
JEFFREY E. MAX
Affiliation:
University of California, San Diego and Children's Hospital and Health Center, San Diego, California
DONALD A. ROBIN
Affiliation:
San Diego State University, San Diego, California
H. GERRY TAYLOR
Affiliation:
Case Western Reserve University and Rainbow Babies Hospital, Cleveland, Ohio
KEITH O. YEATES
Affiliation:
Department of Pediatric Neuropsychology, Children's Hospital, Columbus, Ohio
PETER T. FOX
Affiliation:
University of Texas Health Science Center, San Antonio (UTHSCSA)
JACK L. LANCASTER
Affiliation:
University of Texas Health Science Center, San Antonio (UTHSCSA)
FACUNDO F. MANES
Affiliation:
Raul Carrea Institute for Neurological Research–FLENI, Buenos Aires, Argentina.
KATHERINE MATHEWS
Affiliation:
University of Iowa, Iowa City, Iowa
SHANNON AUSTERMANN
Affiliation:
San Diego State University, San Diego, California
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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. (JINS, 2004, 10, 976–986.)

Keywords

AttentionChildhood strokeNeuroimagingClubfootScoliosis
Type
SYMPOSIA ARTICLE
Information
Journal of the International Neuropsychological Society , Volume 10 , Issue 7 , November 2004 , pp. 976 - 986
Copyright
© 2004 The International Neuropsychological Society

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