Usually, up to 50% of cerebrovascular (brain vessels) lesions in childhood stroke will improve or resolve within a year without specific treatment.
A long term low dose aspirin treatment is often suggested for improvement of vasculitic changes and for decreasing the chances for stroke relapse.
Long term follow is important for evidence of persistent or progressive vascular disease, often done non-invasively with serial MRA studies.
Different clinical studies have shown that all children recover the ability to walk independently after a stroke, some children adapt by using their other hand for more tasks, speech and language problems improve most rapidly over the first year.
Loss of emotional control, personality changes, changes in mood, improper language and actions, concentration and learning difficulties, memory problems are all symptoms or side effects of brain stroke.
Improvement in mood swings may naturally occur as the stroke patient progresses through their recovery.
Sleep difficulties develop due to changes in the brain regions and neurotransmitters that control sleep, but, if they are getting worse it will be a good idea to ask for a brain MRI test.
Sometimes, sleep difficulties can precede new episodes of brain vessels obstruction.
Best wishes!
