Childhood Stroke and Vision: A Review of the Literature

Lauren B. Crawford, Meredith Golomb

Research output: Contribution to journalArticle

Abstract

Objective: Here we review the current literature regarding visual outcome after perinatal and childhood stroke. Background: Visual deficits following stroke in adults are common and have been previously reviewed. Less is known about visual deficits following stroke in neonates and older children. Most of the literature regarding this subject has focused on preterm infants, or on other types of brain injury. This review summarizes the types of visual deficits seen in term infants following perinatal stroke and children following childhood stroke and predictors of outcome. This review suggests areas for future research. Methods: We performed Ovid MEDLINE searches regarding visual testing in children, vision after childhood stroke, neuroplasticity of vision, treatment of visual impairment after stroke, and driving safety concerns after stroke. Results: Visual field defects were the most commonly reported visual deficits after perinatal and childhood stroke. There is a significant lack of literature on this subject, and most is in the form of case reports and case series. Children can experience significant visual morbidity after stroke, and have the potential to show some recovery, but guidelines on assessment and treatment of this population are lacking. Conclusions: There were limitations to this study, given the small amount of literature available. Although stroke in children can result in severe visual deficits, most children regain at least a portion of their vision. However, more research is needed regarding visual assessment of this population, long-term visual outcomes, specific predictors of recovery, and treatment options.

Original languageEnglish (US)
JournalPediatric Neurology
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Stroke
Neuronal Plasticity
Vision Disorders
Visual Fields
Premature Infants
MEDLINE
Brain Injuries
Population
Therapeutics
Newborn Infant
Guidelines
Morbidity
Safety
Research

Keywords

  • childhood stroke
  • driving
  • neonatal stroke
  • outcomes
  • perinatal stroke
  • treatment
  • vision
  • visual impairment

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Neurology
  • Developmental Neuroscience
  • Clinical Neurology

Cite this

Childhood Stroke and Vision : A Review of the Literature. / Crawford, Lauren B.; Golomb, Meredith.

In: Pediatric Neurology, 01.01.2018.

Research output: Contribution to journalArticle

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