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Mental health outcomes in children with acquired dystonia after basal ganglia stroke and associations with cognitive and motor outcomes.
The objective of this study was to explore mental health outcomes in children with basal ganglia stroke and to determine whether children with post-stroke dystonia experience additional mental health difficulties. We also examined associations between mental health, cognitive, and motor outcomes. Participants were 75 children with stroke involving the basal ganglia and/or thalamus (dystonia n = 24, no dystonia n = 51). Results supported the presence of greater levels of anxiety and depression symptoms in children with post-stroke dystonia after stroke relative to those with similar patterns of stroke, but no dystonia. Th...
Source: Child Neuropsychology - January 29, 2020 Category: Child Development Authors: Ledochowski J, Desrocher M, Williams T, Dlamini N, Westmacott R Tags: Child Neuropsychol Source Type: research

Tourette Syndrome and Comorbid Neuropsychiatric Conditions
AbstractTourette syndrome is a neuropsychiatric condition characterized by both motor and phonic tics over a period of at least 1  year with the onset in childhood or adolescence. Apart from the tics, most of the patients with Tourette syndrome have associated neuropsychiatric comorbidities consisting of attention deficit hyperactivity disorder, obsessive compulsive disorder, rage attacks, sleep issues, depression, and migrai ne. Patients may also have physical complications directly from violent motor tics which can rarely include cervical myelopathy, arterial dissection, and stroke. The purpose of this article is to rev...
Source: Current Developmental Disorders Reports - November 4, 2016 Category: Child Development Source Type: research

Assessment and Treatment of a Young Adult with Congenital Heart Disease and ADHD
CASE: Phillip is a young man born with hypoplastic left heart syndrome referred to your practice for a range of mental health concerns. He underwent palliation to an extracardiac Fontan in infancy and experienced multiple complications over the next decade including valvular regurgitation and arrhythmias necessitating a pacemaker. Phillip continued to have systolic heart failure with New York Heart Association class II symptoms, managed with 4 medications and anticoagulation. Despite this complex history, Phillip had intact cognitive abilities, achieved typical milestones, and performed well academically in secondar...
Source: Journal of Developmental and Behavioral Pediatrics - May 1, 2021 Category: Child Development Tags: Challenging Case Source Type: research