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Brain Sciences
Volume 15
Issue 12
10.3390/brainsci15121291
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This is an early access version, the complete PDF, HTML, and XML versions will be available soon.
Case Report

Long-Term Cognitive and Language Outcomes at the Age of Seven Following Arterial Presumed Perinatal Ischemic Stroke: A Case Report

by
Ivana Bogavac
1,2,*,
Ljiljana Jeličić
1,2,
Jelena Đorđević
3,4,
Maša Marisavljević
1,2,
Nenad Polomac
5,
Ivana Pavković
1,2 and
Mile Vuković
6
1
Cognitive Neuroscience Department, Research and Development Institute “Life Activities Advancement Institute”, 11000 Belgrade, Serbia
2
Department of Speech, Language and Hearing Sciences, Institute for Experimental Phonetics and Speech Pathology, 11000 Belgrade, Serbia
3
Clinic for Neurology and Psychiatry for Children and Adolescents, 11000 Belgrade, Serbia
4
Department of Psychiatry, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia
5
Institute of Neuroradiology, University Hospital Frankfurt am Main, 60596 Frankfurt am Main, Germany
6
Faculty of Special Education and Rehabilitation, University of Belgrade, 11000 Belgrade, Serbia
*
Author to whom correspondence should be addressed.
Brain Sci. 2025, 15(12), 1291; https://doi.org/10.3390/brainsci15121291 (registering DOI)
Submission received: 31 October 2025 / Revised: 27 November 2025 / Accepted: 28 November 2025 / Published: 29 November 2025
(This article belongs to the Section Neurorehabilitation)
Versions Notes

Abstract

The brain in healthy adults shows language localization in the left hemisphere, and the evidence from the literature supports neural plasticity after traumatic injuries. What happens if an injury occurs early in brain development? How does early unilateral brain damage affect a child’s ability to acquire language? Evidence regarding language development after early unilateral brain damage is mixed. Therefore, this case report aims to present the language and cognitive status at the age of seven in a child who suffered a left-sided arterial presumed perinatal ischemic stroke (APPIS), with reference to her MRI findings. As part of her ongoing rehabilitation, she has received continuous speech therapy since age four and physiotherapy since six months of age. The current evaluation provides insights into long-term neurodevelopmental outcomes following early brain injury, highlighting the variability in clinical outcomes and considering the potential for functional restitution.
Keywords: cognition; language; arterial perinatal stroke; MRI cognition; language; arterial perinatal stroke; MRI

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MDPI and ACS Style

Bogavac, I.; Jeličić, L.; Đorđević, J.; Marisavljević, M.; Polomac, N.; Pavković, I.; Vuković, M. Long-Term Cognitive and Language Outcomes at the Age of Seven Following Arterial Presumed Perinatal Ischemic Stroke: A Case Report. Brain Sci. 2025, 15, 1291. https://doi.org/10.3390/brainsci15121291

AMA Style

Bogavac I, Jeličić L, Đorđević J, Marisavljević M, Polomac N, Pavković I, Vuković M. Long-Term Cognitive and Language Outcomes at the Age of Seven Following Arterial Presumed Perinatal Ischemic Stroke: A Case Report. Brain Sciences. 2025; 15(12):1291. https://doi.org/10.3390/brainsci15121291

Chicago/Turabian Style

Bogavac, Ivana, Ljiljana Jeličić, Jelena Đorđević, Maša Marisavljević, Nenad Polomac, Ivana Pavković, and Mile Vuković. 2025. "Long-Term Cognitive and Language Outcomes at the Age of Seven Following Arterial Presumed Perinatal Ischemic Stroke: A Case Report" Brain Sciences 15, no. 12: 1291. https://doi.org/10.3390/brainsci15121291

APA Style

Bogavac, I., Jeličić, L., Đorđević, J., Marisavljević, M., Polomac, N., Pavković, I., & Vuković, M. (2025). Long-Term Cognitive and Language Outcomes at the Age of Seven Following Arterial Presumed Perinatal Ischemic Stroke: A Case Report. Brain Sciences, 15(12), 1291. https://doi.org/10.3390/brainsci15121291

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