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Dev Neurorehabil. 2017 Apr;20(3):165-168. doi: 10.3109/17518423.2015.1132280. Epub 2016 Feb 18.

Significant motor improvement in an infant with congenital heart disease and a rolandic stroke: The impact of early intervention.

Author information

1
a CHU Sainte-Justine Research Centre, University of Montreal , Montréal , Canada.
2
b Clinique Investigation Neuro-Cardiaque (CINC), CHU Sainte-Justine , Montréal , Canada.
3
c Department of Radiology , CHU Sainte-Justine, University of Montreal , Montréal , Canada.

Abstract

OBJECTIVE:

To report the impact of early motor intervention in an infant with congenital heart disease (CHD) and a stroke.

METHODS AND RESULTS:

A 35-week newborn with a complex CHD and a normal MRI presented with early motor developmental delay at 2 months. She began an intervention program, which included biweekly motor developmental therapy with a physiotherapist, parental education, and daily home exercises. At 4 months, she underwent cardiac surgery. Following surgery, she was diagnosed with a stroke involving the right sylvian artery territory. She continued her intensive intervention program. The 12-month assessment revealed an evident gain of motor function. Despite MRI evidence of a chronic infarct involving the primary motor cortex, the child had normal motor functions.

CONCLUSION:

This case report supports the positive impact of early intervention in infants with CHD and its potential effect on enhancing neuroplasticity, even in children with cerebro-vascular accidents involving areas of motor function.

KEYWORDS:

Congenital heart disease (CHD); early intervention; motor; neuroplasticity; stroke

PMID:
26889873
DOI:
10.3109/17518423.2015.1132280
[Indexed for MEDLINE]

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