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A 9-Year-Old Boy with a History of Large Perinatal Stroke, Infantile Spasms, and High Academic Achievement

Division of Pediatric Neurology, Department of Neurology, Indiana University School of Medicine ,Riley Hospital for Children, Indianapolis, Indiana, mgolomb{at}iupui.edu

Karen S. Carvalho, MD

Division of Pediatric Neurology, Department of Neurology, Indiana University School of Medicine, Riley Hospital for Children, Indianapolis, Indiana

Bhuwan P. Garg, MBBS

Division of Pediatric Neurology, Department of Neurology, Indiana University School of Medicine, Riley Hospital for Children, Indianapolis, Indiana

The prognosis for intellectual development in children with symptomatic infantile spasms is usually poor. We report a 9-year-old boy with a history of a large, presumed perinatal, left middle cerebral artery infarct discovered when he developed infantile spasms at 6 months of age. The infantile spasms responded to treatment with adrenocorticotropic hormone. He attained cognitive mile-stones at normal times, requiring only speech therapy for dysarthric speech. At 9 years of age, he has seizures and a severe right hemiparesis but is an articulate honor roll student in advanced English classes. The development of infantile spasms after large-branch middle cerebral artery stroke does not always predict future mental retardation. (J Child Neurol 2005;20:444—446).

Journal of Child Neurology, Vol. 20, No. 5, 444-446 (2005)
DOI: 10.1177/08830738050200051001


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