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Early intervention after perinatal stroke: opportunities and challenges

Lookup NU author(s): Dr Anna BasuORCiD

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Abstract

Perinatal stroke is the most common cause of hemiplegic cerebral palsy. No standardized early intervention exists despite evidence for a critical time window for activity-dependent plasticity to mould corticospinal tract development in the first few years of life. Intervention during this unique period of plasticity could mitigate the consequences of perinatal stroke to an extent not possible with later intervention, by preserving the normal pattern of development of descending motor pathways. This article outlines the broad range of approaches currently under investigation. Despite significant progress in this area, improved early detection and outcome prediction remain important goals.What this paper adds Experimental approaches targeting early therapeutic time windows after perinatal stroke have the potential for significant reduction of morbidity. Improved early detection rates and optimized outcome prediction will be needed to implement all but the most low-risk interventional strategies.

Publication metadata

Author(s): Basu AP

Publication type: Review

Publication status: Published

Journal: Developmental Medicine & Child Neurology

Year: 2014

Volume: 56

Issue: 6

Pages: 516-521

Print publication date: 17/02/2014

ISSN (print): 0012-1622

ISSN (electronic): 1469-8749

Publisher: WILEY-BLACKWELL

URL: http://dx.doi.org/10.1111/dmcn.12407

DOI: 10.1111/dmcn.12407

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