Can specific deficits in executive functioning explain the behavioral characteristics of CHARGE syndrome: a case
1Vestlandet Resource Center, Bergen, Norway. jude.nicholas@statped.no
Insights
This case study examines a 12-year-old girl with CHARGE syndrome who experienced academic and psychosocial challenges. Neuropsychological assessment revealed significant executive dysfunction, highlighting the need for targeted interventions.
Area of Science:
- Pediatric Neurology
- Neurodevelopmental Disorders
- Clinical Case Study
Background:
- CHARGE syndrome is a complex genetic disorder with diverse clinical manifestations.
- Early identification of developmental challenges is crucial for effective management.
- Executive functions are critical for academic and social functioning in children.
Observation:
- A 12-year-old girl with CHARGE syndrome presented with asymmetrical ventriculomegaly on neuroimaging.
- Academic and psychosocial difficulties were reported by her parents and teachers.
- Neuropsychological testing indicated significant executive dysfunction, particularly in attention.
Findings:
- Executive dysfunction, including attention deficits, was identified in the CHARGE syndrome patient.
- A correlation between executive deficits and reported academic/psychosocial problems is suggested.
- The case underscores the link between neurodevelopmental profiles and functional outcomes.
Implications:
- Routine evaluation of executive function is recommended for children with CHARGE syndrome.
- Early identification of executive deficits can guide personalized educational and therapeutic interventions.
- This approach facilitates timely support, improving quality of life for affected children.
Abstract:
I present the case of a 12-year-old girl diagnosed with CHARGE syndrome. As an infant she had shown typical characteristics of CHARGE. Neuroimaging revealed asymmetrical ventriculomegaly. Both her teacher and parents reported academic and psychosocial problems. Neuropsychological assessment revealed significant executive dysfunction, including attention difficulties. We discuss the possible association between executive deficits and school and psychosocial problems. This case also highlights the importance of evaluating executive function in children with CHARGE, which is particularly useful in efficiently identifying needs for direct intervention.
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