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Peidatric Strokes
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Peidatric Strokes - October 31, 2001 1:41:00 PM
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melissa y. gomez
Posts: 13
Joined: January 9, 2000
From: Uniondale(LI),NY,USA
Status: offline
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Hello everyone,
I am once again doing another inservice. This time on pediatric strokes. I am doing a pediatric affilitation and we have one little girls who is almost 2 years old who was born with a cerebral occulsion and she has sice presented as a right hemi. My CI has been working with her since she was 10 months old. I am now looking into doing an inservice on this topic. Can anyone tell me about the success that they have had with these types of children and if what other types of strokes they have heard of? Also if anyone knows any good articles that I can find. My inservice will be towards the end of Nov. Thanks
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Re: Peidatric Strokes - October 31, 2001 4:16:00 PM
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jma
Posts: 2414
Joined: August 24, 2000
From: NY
Status: offline
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Hello,
Just happened to be looking around and I came upon a study with an interesting abstract. Perhaps this article's references along with this study may help out. Hope this helps. See below for info.
MEDLINE Hurvitz EA. Beale L. Ried S. Nelson VS. Functional outcome of paediatric stroke survivors. [Journal Article] Pediatric Rehabilitation. 3(2):43-51, 1999 Apr-Jun. Available through Interlibrary Loan:Check at Circulation Desk
UI: 99438766
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Re: Peidatric Strokes - November 19, 2001 6:38:00 AM
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Joy Colangelo
Posts: 23
Joined: September 26, 2001
From: Pacific Grove, CA. USA
Status: offline
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I don't have any articles but two patients in the past with stroke. One, a 7 year old girl hit on the forehead with a soccer ball during a game. A day later, she has an embolic stroke with severe right sided paralysis (flaccid), aphasia, slight dysphagia. Seems she overstretched the carotid, it scabbed, the scab lifted and she stroked. Could be though that she dissected. We rehabed her for weeks and had poor compliance with physical rehab as school re-entry was a priority. She is now 15 years old and we just completed CIMT with great success after a tendon transfer for wrist extension and another for thumb movement. Gait during CIMT is near normal and hand function now an assist to the left rather than just a stabilizer. Another 8 year old stroked after chemotherapy and we also did CIMT with nice results in the hand function. However, no compliance once home and nearly all gains were lost. Again, perhaps other priorities like keeping him alive as I believe the cancer recurred in his leg.
My 29 year old neice, certainly not a child, but young nonetheless, recently had a major stroke after a carotid dissection -- good literature on that subject in MedLine. She came to live with me and I rehab'ed her to the best of my abilities - an ironic dream come true for a therapist and had an excellent outcome -- one always wonders how much return could be gained if we were on the job every day for hours at a time, for months at a stretch -- well a lot can happen.
Sorry for the length without any science. But those are my anecdotes. Compliance with children is a huge factor and it is such a shame as you have the ultimate plasticity.
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Joy
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