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[Psychological evaluation in children with a cavum of the septum pellucidum]
Marek Kaciński1, Barbara Prajsner, Alicja Kubik
1Klinika Neurologii Dzieciecej Collegium, Medicum Uniwersytetu Jagiellońskiego, Kraków. neupedkr@cm-uj.krakow.pl
Insights
Persistent cavum of the septum pellucidum (CSP) is linked to intellectual deficits in children. Early psychological assessment is recommended for children diagnosed with CSP to identify potential developmental issues.
Area of Science:
- Neuroscience
- Developmental Psychology
- Pediatrics
Context:
- The cavum of the septum pellucidum (CSP) is a common finding in pediatric neuroimaging.
- Its association with neurodevelopmental outcomes remains an area of active research.
- Understanding CSP's impact is crucial for early intervention strategies.
Purpose:
- To investigate the influence of persistent cavum of the septum pellucidum (CSP) on intellectual development across different pediatric age groups.
- To assess cognitive, motor, and lateralization functions in children with CSP.
- To establish the correlation between CSP and intellectual deficits.
Summary:
- This study examined 53 children with CSP (aged 2 months to 14 years) and a control group, assessing intellectual development using standardized scales (e.g., WISC-R).
- Results indicated a higher prevalence of below-average IQ and mental retardation in children with CSP, particularly in younger age groups (60% in <2 years).
- Children with CSP showed significantly lower scores in cognitive and manual abilities, highlighting a link between CSP and intellectual function deficits.
Impact:
- The findings underscore the importance of early psychological screening for children with CSP to detect and address potential intellectual impairments.
- This research contributes to a better understanding of CSP's neurodevelopmental consequences.
- Early identification can facilitate timely interventions, potentially improving long-term outcomes for affected children.
The Aim Of The Study:
Was to determine the influence of the persistent cavum of the septum pellucidum (CSP) on the children intellectual development in different age groups.
The Material And Methods:
There were 53 children with CSP examined (3.4% of the hospitalised children), 28 girls and 25 boys aged 2 months-14 years. Among them 30 was with normal intellectual development, 14 children with IQ under the average and 9 with mental retardation. The control group consists of 30 children without CSP and with normal intellectual development. The children were divided into three groups: aged under 2 years, between 2 and 6 years and between 7 and 14 years. Using Psyche Cattell, Terman-Merrill and D. Wechsler (WISC-R) scales performed the general intellectual assessment. The evaluation of the cognitive, motor abilities and lateralization of the motor and visual functions in children was done using tests: Bender-Koppitz, Benton, R. Zazzo, M. Stambak, H. Spionek and Lingual Abilities Test. The anamnesis was obtained from parents. The statistic analyses was performed with chi-square and Fisher tests.
Results:
The percentage of children with IQ under average and with mental retardation in the group <2 years was 60%, in 2-6 years 47% and in the group 7-14 years was 35%. The study show significantly lower score in the Code test of the D. Wechsler scale in children with CSP and normal intellectual development. Older children presented also significantly lower scores in manual abilities. A lot of intellectual functions were deleted in the majority of the children with CSP and the IQ under the average or with mental retardation.
Conclusion:
The CSP in children is connected to the deficits of the intellectual functions and that why the psychological assessment should be early performed in children with CSP.
