Cognitive functions in children with myelomeningocele without hydrocephalus

Barbro Lindquist1, Paul Uvebrant, Eva Rehn

  • 1Department of Habilitation, Halmstad County Hospital, Halmstad, Sweden.

Insights

Hydrocephalus, not myelomeningocele (MMC), significantly impacts children's intelligence and cognitive functions. Children with MMC alone showed normal intelligence, while those with added hydrocephalus experienced deficits.

Area of Science:

  • Pediatric Neurology
  • Developmental Neuroscience

Background:

  • Myelomeningocele (MMC) is a complex birth defect.
  • The co-occurrence of hydrocephalus in children with MMC is common.
  • The independent contributions of MMC and hydrocephalus to cognitive outcomes are not fully understood.

Purpose of the Study:

  • To investigate the distinct effects of myelomeningocele (MMC) and hydrocephalus on intelligence.
  • To assess the impact of MMC and hydrocephalus on neuropsychological functions in children.

Main Methods:

  • A population-based study in western Sweden.
  • Compared children with MMC only (n=8) to those with MMC and hydrocephalus.
  • Used age- and gender-matched controls for comparison.

Main Results:

  • Children with MMC only had an average IQ of 103, versus 75 for those with MMC and hydrocephalus.
  • The MMC-only group demonstrated superior immediate and long-term memory and executive functions.
  • Excluding two participants with IQ <70, the MMC-only group performed comparably to controls on learning and executive functions.

Conclusions:

  • Hydrocephalus, rather than MMC itself, is strongly associated with cognitive deficits.
  • These findings highlight the critical role of managing hydrocephalus in improving cognitive outcomes for children with MMC.
Abstract

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