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Bogavac I, Jeličić L, Marisavljević M, Bošković Matić T, Subotić M. Arterial Presumed Perinatal Ischemic Stroke: A Mini Review and Case Report of Cognitive and Speech-Language Profiles in a 5-Year-Old Girl. CHILDREN (BASEL, SWITZERLAND) 2023; 11:33. [PMID: 38255347 PMCID: PMC10814911 DOI: 10.3390/children11010033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/30/2023] [Revised: 12/16/2023] [Accepted: 12/20/2023] [Indexed: 01/24/2024]
Abstract
Arterial presumed perinatal ischemic stroke is a type of perinatal stroke that emerges due to late or delayed diagnostics of perinatal or neonatal arterial ischemic stroke. It is usually recognized before one year of life due to hemiparesis. This injury may lead to cognitive, behavioral, or motor symptoms, and life-long neurodevelopmental disabilities. In this case report, we describe a five-year-old girl with a history of arterial presumed perinatal ischemic stroke in the left hemisphere, which adversely affected her cognitive and language outcomes. The girl's cognitive development has been uneven, ranging from below average to average, and she had specific language acquisition deficits in comprehension, vocabulary, morphology, use of complex syntax, and narrative structure. The obtained results point to the specificity of each child whose development is influenced not only by the timing of the brain lesion and the degree of damage, but also by the child's neurobiological capacity. In addition, we provide an updated review of the literature that includes information on epidemiology, risk factors, diagnostics, clinical manifestations, outcomes, and potential therapies. The present article highlights the importance of early intervention and systematic monitoring of children with perinatal stroke with the aim of improving the child's development.
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Affiliation(s)
- Ivana Bogavac
- Cognitive Neuroscience Department, Research and Development Institute “Life Activities Advancement Institute”, 11000 Belgrade, Serbia; (I.B.); (M.M.); (M.S.)
- Department of Speech, Language and Hearing Sciences, Institute for Experimental Phonetics and Speech Pathology, 11000 Belgrade, Serbia
| | - Ljiljana Jeličić
- Cognitive Neuroscience Department, Research and Development Institute “Life Activities Advancement Institute”, 11000 Belgrade, Serbia; (I.B.); (M.M.); (M.S.)
- Department of Speech, Language and Hearing Sciences, Institute for Experimental Phonetics and Speech Pathology, 11000 Belgrade, Serbia
| | - Maša Marisavljević
- Cognitive Neuroscience Department, Research and Development Institute “Life Activities Advancement Institute”, 11000 Belgrade, Serbia; (I.B.); (M.M.); (M.S.)
- Department of Speech, Language and Hearing Sciences, Institute for Experimental Phonetics and Speech Pathology, 11000 Belgrade, Serbia
| | - Tatjana Bošković Matić
- Department of Neurology, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia;
- Clinic of Neurology, University Clinical Centre of Kragujevac, 34000 Kragujevac, Serbia
| | - Miško Subotić
- Cognitive Neuroscience Department, Research and Development Institute “Life Activities Advancement Institute”, 11000 Belgrade, Serbia; (I.B.); (M.M.); (M.S.)
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Stanojevic N, Fatic S, Jelicic L, Nenadovic V, Stokic M, Bilibajkic R, Subotic M, Boskovic Matic T, Konstantinovic L, Cirovic D. Resting-state EEG alpha rhythm spectral power in children with specific language impairment: a cross-sectional study. J Appl Biomed 2023; 21:113-120. [PMID: 37747311 DOI: 10.32725/jab.2023.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2023] [Accepted: 09/13/2023] [Indexed: 09/26/2023] Open
Abstract
PURPOSE This study investigated EEG alpha rhythm spectral power in children with Specific Language Impairment (SLI) and compared it to typically developing children to better understand the electrophysiological characteristics of this disorder. Specifically, we explored resting-state EEG, because there are studies that point to it being linked to speech and language development. METHODS EEG recordings of 30 children diagnosed with specific language impairment and 30 typically developing children, aged 4.0-6.11 years, were carried out under eyes closed and eyes open conditions. Differences in alpha rhythm spectral power in relation to brain topography and experimental conditions were calculated. RESULTS In the eyes closed condition, alpha rhythm spectral power was statistically significantly lower in children with specific language impairment in the left temporal (T5) and occipital electrodes (O1, O2) than in typically developing children. In the eyes open condition, children with SLI showed significantly lower alpha rhythm spectral power in the left temporal (T3, T5), parietal (P3, Pz), and occipital electrodes (O1, O2). There were no statistically significant differences between the groups in relation to the relative change (the difference between average alpha rhythm spectral power during eyes closed condition and average alpha rhythm spectral power during eyes open condition divided by average alpha rhythm spectral power during eyes closed condition) in the alpha rhythm spectral power between the conditions. CONCLUSION Lower alpha rhythm spectral power in the left temporal, left, midline parietal, and occipital brain regions could be a valuable electrophysiological marker in children with SLI. Further investigation is needed to examine the connection between EEG alpha spectral power and general processing and memory deficits in patients with SLI.
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Affiliation(s)
- Nina Stanojevic
- Research & Development Institute "Life Activities Advancement Institute", Cognitive Neuroscience Department, Belgrade, Serbia
- Institute for Experimental Phonetics and Speech Pathology "Dorde Kostic", Department of Speech, Language, and Hearing Sciences, Belgrade, Serbia
| | - Saska Fatic
- Research & Development Institute "Life Activities Advancement Institute", Cognitive Neuroscience Department, Belgrade, Serbia
- Institute for Experimental Phonetics and Speech Pathology "Dorde Kostic", Department of Speech, Language, and Hearing Sciences, Belgrade, Serbia
| | - Ljiljana Jelicic
- Research & Development Institute "Life Activities Advancement Institute", Cognitive Neuroscience Department, Belgrade, Serbia
- Institute for Experimental Phonetics and Speech Pathology "Dorde Kostic", Department of Speech, Language, and Hearing Sciences, Belgrade, Serbia
| | - Vanja Nenadovic
- Institute for Experimental Phonetics and Speech Pathology "Dorde Kostic", Department of Speech, Language, and Hearing Sciences, Belgrade, Serbia
| | - Miodrag Stokic
- University of Belgrade, Faculty of Biology, Belgrade, Serbia
| | - Ruzica Bilibajkic
- Research & Development Institute "Life Activities Advancement Institute", Cognitive Neuroscience Department, Belgrade, Serbia
| | - Misko Subotic
- Research & Development Institute "Life Activities Advancement Institute", Cognitive Neuroscience Department, Belgrade, Serbia
| | - Tatjana Boskovic Matic
- University of Kragujevac, Faculty of Medical Sciences, University Clinical Center, Kragujevac, Serbia
| | - Ljubica Konstantinovic
- University of Belgrade, Faculty of Medicine, Belgrade, Serbia
- Clinic for Rehabilitation "Dr Miroslav Zotovic", Belgrade, Serbia
| | - Dragana Cirovic
- University of Belgrade, Faculty of Medicine, Belgrade, Serbia
- University Children's Hospital, Physical Medicine and Rehabilitation Department, Belgrade, Serbia
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