A 9-year old boy with a history of large perinatal stroke, infantile spasms, and high academic achievement

Meredith R. Golomb, Karen S. Carvalho, Bhuwan P. Garg

Research output: Contribution to journalArticle

3 Scopus citations


The prognosis for intellectual development in children with symptomatic infantile spasms is usually poor. We report a 9-year-old boy with a history of a large, presumed perinatal, left middle cerebral artery infarct discovered when he developed infantile spasms at 6 months of age. The infantile spasms responded to treatment with adrenocorticotropic hormone. He attained cognitive milestones at normal times, requiring only speech therapy for dysarthric speech. At 9 years of age, he has seizures and a severe right hemiparesis but is an articulate honor roll student in advanced English classes. The development of infantile spasms after large-branch middle cerebral artery stroke does not always predict future mental retardation.

Original languageEnglish (US)
Pages (from-to)444-446
Number of pages3
JournalJournal of Child Neurology
Issue number5
StatePublished - May 2005


ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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