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Apert syndrome: factors involved in the cognitive development
Adriano Yacubian-Fernandes1, Aristides Palhares, Alcir Giglio
1Department of Craniofacial Surgery, Hospital de Reabilitação de Anomalias Craniofaciais, University of Sao Paulo, Bauru, SP, Brazil. adriano@yacubian.com.br
The family environment quality significantly impacts cognitive development in Apert syndrome patients, not brain malformations or surgery timing. This finding is crucial for understanding and supporting affected individuals.
Area of Science:
- Medical Genetics
- Developmental Pediatrics
- Neuroscience
Background:
- Apert syndrome presents with craniosynostosis, syndactyly, and often intellectual disability.
- Understanding factors influencing cognitive development in Apert syndrome is critical for patient care.
Purpose of the Study:
- To correlate brain malformations and surgical timing with neuropsychological outcomes in Apert syndrome.
- To identify other factors, such as socioeconomic status and parental education, affecting cognitive development.
Main Methods:
- Study included 18 patients with Apert syndrome (ages 14-322 months).
- Evaluated brain abnormalities, developmental quotients (DQ/IQ), and family environment.
- Analyzed correlations between these factors and cognitive development.
Main Results:
- Brain abnormalities were present in 55.6% of patients.
- DQ/IQ scores ranged from 45 to 108.
- Mental development correlated with family environment quality and parental education, but not with brain malformations or age at surgery.
Conclusions:
- Family environment quality is the most significant factor in the mental development of Apert syndrome patients.
- Socioeconomic factors play a more prominent role than neuroanatomical differences or surgical intervention timing.
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