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Neuropsychological functioning in early hydrocephalus: review from a developmental perspective
K Erickson1, I S Baron, B D Fantie
1Human Neuropsychology Laboratory, Department of Psychology, American University, 4400 Massachusetts Avenue NW, Washington, DC 20016, USA.
Insights
Children with hydrocephalus often experience motor and visual-perceptual deficits. Understanding these neurocognitive sequelae in developing brains is crucial for effective clinical care and research.
Area of Science:
- Neuroscience
- Developmental Psychology
- Pediatric Neurology
Background:
- Hydrocephalus is associated with significant neuropsychological deficits in children.
- Motor, visuoperceptual, and visuomotor functions are particularly affected.
- Corpus callosum abnormalities and ventricular enlargement contribute to cognitive impairment.
Purpose of the Study:
- To review current knowledge on the neurocognitive sequelae of hydrocephalus in children.
- To highlight the impact of hydrocephalus on cognitive domains during development.
- To identify areas requiring further investigation regarding hydrocephalus and cognition.
Main Methods:
- Literature review of medical and neuropsychological studies.
- Synthesis of existing research on neurocognitive outcomes in pediatric hydrocephalus.
- Analysis of factors influencing neuropsychological deficits.
Main Results:
- Children with hydrocephalus exhibit deficits across multiple neuropsychological domains.
- Severity and etiology of hydrocephalus influence the extent of these deficits.
- Developmental aspects of these neurocognitive impairments are not fully understood.
Conclusions:
- Further research is needed to fully explicate the core neurocognitive deficits in hydrocephalus.
- Understanding these sequelae is vital for clinicians and researchers studying the developing brain.
- Targeted investigations are required to address knowledge gaps in hydrocephalus and cognition.
Abstract:
Children with hydrocephalus have deficits in several neuropsychological domains. The most notable are motor, visuoperceptual, and visuomotor function. These deficits are multiply determined and depend on the etiology and severity of the hydrocephalus to a large extent. Corpus callosum abnormalities resulting from stretching of callosal fibers and other cortical white matter tracts are implicated as contributory to these deficits. Enlarged ventricles and associated compression of posterior cortical areas also correlate with cognitive impairment. Distinguishing which cognitive domain negatively impacts on the child's functioning and which domains influence behavior in isolation or in combination has been the subject of numerous studies. Developmentally, we know little about the emergence of neuropsychological functioning in children with hydrocephalus. Study of the effects of hydrocephalus at different stages of development is useful to clinicians and researchers interested in the impact of diffuse neurophysiological damage on cognition in the developing brain. The medical and neuropsychological literature have begun to inform about these effects. The core deficits in hydrocephalus have yet to be explicated and a focus on investigations that answer these questions is required. This review summarizes the current knowledge about neurocognitive sequelae of hydrocephalus.
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