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[儿童期卒中后的注意力缺陷障碍]

[Attention deficit disorders after stroke in childhood].

作者信息

Eikelmann Antje, Petermann Franz, Daseking Monika

机构信息

Zentrum für Klinische Psychologie und Rehabilitation der Universität Bremen.

出版信息

Z Kinder Jugendpsychiatr Psychother. 2008 Nov;36(6):419-26. doi: 10.1024/1422-4917.36.6.419.

Abstract

OBJECTIVE

The present study investigates whether attention deficits increase after stroke in childhood and identifies influencing factors.

METHODS

The attentional functions of 78 children who suffered strokes were evaluated by means of neuropsychological assessments for attention abilities, the CBCL/4-18, and a standardized observation of behavior. The results were compared for age at the time of the stroke, affected hemisphere, and localisation.

RESULTS

Children and adolescents develop attention deficits due to stroke. There seems to be no influence of sex, age at stroke or localisation of stroke. Children with right-hemispheric brain damage tend to develop more attention deficits than children with left-hemispheric stroke.

CONCLUSIONS

There is a need for an early diagnosis and the initiation of an effective treatment to avoid collateral disorders and school problems.

摘要

目的

本研究调查儿童中风后注意力缺陷是否增加,并确定影响因素。

方法

通过注意力能力的神经心理学评估、儿童行为检查表(CBCL/4 - 18)和标准化行为观察,对78名中风儿童的注意力功能进行评估。比较中风时的年龄、受影响的半球和病变部位的结果。

结果

儿童和青少年因中风会出现注意力缺陷。性别、中风时的年龄或中风部位似乎没有影响。右脑损伤的儿童比左脑中风的儿童更容易出现更多的注意力缺陷。

结论

需要早期诊断并开始有效的治疗,以避免并发疾病和学校问题。

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