[Formula: see text] Post-stroke acquired childhood aphasia. A scoping review.

IF 1.6 3区 心理学 Q3 CLINICAL NEUROLOGY
Child Neuropsychology Pub Date : 2023-11-01 Epub Date: 2022-12-22 DOI:10.1080/09297049.2022.2156992
Giulia Gilardone, Mauro Viganò, Dario Cassinelli, Francesca Maria Fumagalli, Irene Calvo, Marco Gilardone, Matteo Sozzi, Massimo Corbo
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引用次数: 0

Abstract

Aphasia has a great impact on children's lives, with stroke being its most common and studied etiology. However, our knowledge about this disorder is limited, the studies on this topic are sparse, and a consensus regarding its definition is lacking. In particular, the interpretation of this condition varied over time: from the rigid description of the so-called "standard doctrine" to the adoption of adult models for post-stroke aphasia. Therefore, this review provides a critical overview of childhood aphasia after stroke, focusing on its epidemiology, definition, diagnosis, and clinical manifestation. The scoping review approach was adopted, following PRISMA-ScR guidelines. PubMed, Web of Science, and PsycInfo databases were searched for related peer-review papers in English. Forty-six records were identified; the majority were single cases and case series, only a few were reviews and observational studies. Epidemiologic data are scarce; a few studies report that aphasia affects about one-third of children post-stroke. Despite terminological differences, there is an overall agreement on the definition of post-stroke aphasia in children as a language disorder acquired after the age of two. Approaches for the diagnosis and evaluation vary widely, including both assessments for developmental language disorders and tests for aphasia in adults. The clinical manifestations described in children are numerous and varied, similar to those found in adults, in contrast with the "standard doctrine." This review highlights the need for further studies to improve the knowledge of this condition, develop validated and specific assessment tools, and standardize clinical management.

[公式:见正文]脑卒中后获得性儿童失语症。范围审查。
失语症对儿童的生活有很大影响,中风是其最常见和研究的病因。然而,我们对这种障碍的了解有限,对这一主题的研究很少,对其定义也缺乏共识。特别是,对这种情况的解释随着时间的推移而变化:从对所谓“标准学说”的严格描述到对中风后失语症采用成人模型。因此,本文对脑卒中后儿童失语症的流行病学、定义、诊断和临床表现进行了综述。根据PRISMA ScR指南,采用了范围审查方法。检索PubMed、Web of Science和PsycInfo数据库中的相关英文同行评审论文。确定了46项记录;大多数是单一病例和病例系列,只有少数是综述和观察性研究。流行病学数据稀少;一些研究报告说,失语症影响了大约三分之一的中风后儿童。尽管术语上存在差异,但对于儿童脑卒中后失语症作为两岁后获得的语言障碍的定义,总体上是一致的。诊断和评估的方法差异很大,包括对发育性语言障碍的评估和对成人失语症的测试。儿童的临床表现多种多样,与成人相似,这与“标准学说”形成了鲜明对比。这篇综述强调了需要进一步研究,以提高对这种疾病的认识,开发经过验证的特定评估工具,并标准化临床管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Child Neuropsychology
Child Neuropsychology 医学-临床神经学
CiteScore
4.10
自引率
9.10%
发文量
71
审稿时长
>12 weeks
期刊介绍: The purposes of Child Neuropsychology are to: publish research on the neuropsychological effects of disorders which affect brain functioning in children and adolescents, publish research on the neuropsychological dimensions of development in childhood and adolescence and promote the integration of theory, method and research findings in child/developmental neuropsychology. The primary emphasis of Child Neuropsychology is to publish original empirical research. Theoretical and methodological papers and theoretically relevant case studies are welcome. Critical reviews of topics pertinent to child/developmental neuropsychology are encouraged. Emphases of interest include the following: information processing mechanisms; the impact of injury or disease on neuropsychological functioning; behavioral cognitive and pharmacological approaches to treatment/intervention; psychosocial correlates of neuropsychological dysfunction; definitive normative, reliability, and validity studies of psychometric and other procedures used in the neuropsychological assessment of children and adolescents. Articles on both normal and dysfunctional development that are relevant to the aforementioned dimensions are welcome. Multiple approaches (e.g., basic, applied, clinical) and multiple methodologies (e.g., cross-sectional, longitudinal, experimental, multivariate, correlational) are appropriate. Books, media, and software reviews will be published.
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