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Speech, language, and cognitive development in children with isolated sagittal synostosis.

Caroleen Shipster1, Daniela Hearst, Anne Somerville

  • 1Speech and Language Therapy Department, Great Ormond St Hospital NHS Trust, Great Ormond St, London WC1N 3JH, UK. SHIPSC@gosh.nhs.uk

Developmental Medicine and Child Neurology
|January 29, 2003
PubMed
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Children with isolated sagittal synostosis (ISS) show a high prevalence of speech and language impairments, particularly expressive language issues. Cognitive impairment was not elevated, but early identification is key for children over two years old.

Area of Science:

  • Pediatric neurology
  • Developmental pediatrics
  • Speech-language pathology

Background:

  • Isolated sagittal synostosis (ISS) is a common craniosynostosis affecting skull development.
  • Understanding associated neurodevelopmental outcomes like speech, language, and cognitive function is crucial for affected children.

Purpose of the Study:

  • To investigate the prevalence, characteristics, and severity of speech, language, and cognitive impairments in children with ISS.
  • To identify potential risk factors associated with these impairments in the ISS population.

Main Methods:

  • A cohort of 76 children diagnosed with isolated sagittal synostosis (ISS), aged 9 months to 15 years 7 months, was assessed.
  • Evaluations included assessments for global cognitive function, and specific speech, language, and cognitive impairments.

Related Experiment Videos

Main Results:

  • No increased prevalence of global cognitive impairment was found.
  • A high prevalence (37%) of speech and/or language impairment was observed, with 71% of these being moderate to severe.
  • Expressive language impairment was the most common, with increased rates in children over two years of age. Later surgery age and family history were associated with impairments.

Conclusions:

  • Children with isolated sagittal synostosis (ISS) are at an increased risk for developing speech and language impairments.
  • Early identification and intervention for speech and language issues are recommended for children with ISS, especially those over two years old.
  • Further research with larger sample sizes is needed to confirm associations with later surgery age and family history.