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Infant Auditory Processing and Event-related Brain Oscillations
Published on: July 1, 2015
Children with chronic lung diseases have cognitive dysfunction as assessed by event-related potential (auditory P300)
Terez Boshra Kamel1, Mahmoud Tarek Abd Elmonaem2, Lobna Hamed Khalil3
1Department of Pediatrics, Faculty of Medicine, Ain Shams University, Cairo, Egypt. Terez2003@hotmail.com.
Insights
Children with chronic lung disease (CLD) show impaired cognitive function, evidenced by lower IQ scores and delayed auditory P300 responses. Early detection of cognitive deficits is crucial for managing CLD impacts.
Area of Science:
- Pediatrics
- Neurology
- Pulmonology
Background:
- Chronic lung disease (CLD) in children poses risks due to hypoxia.
- Cognitive function in CLD patients is understudied.
- Auditory P300's role in assessing CLD-related cognitive function is unexplored.
Purpose of the Study:
- To evaluate cognitive functions in schoolchildren with CLD.
- To compare auditory P300 and Stanford-Binet test results.
- To investigate the relationship between CLD severity, hypoxia, and cognitive deficits.
Main Methods:
- Cross-sectional study of 40 CLD children and 30 healthy controls.
- Clinical, radiological, and spirometry evaluations.
- Cognitive assessment using auditory P300 and Stanford-Binet test (4th ed.).
Main Results:
- CLD children had lower anthropometric measures and IQ scores.
- Delayed P300 latencies indicated reduced cognitive abilities.
- Cognitive dysfunction correlated with disease severity and hypoxia.
Conclusions:
- Combined use of Stanford-Binet test and auditory P300 effectively detects cognitive deficits in CLD children.
- Auditory P300 is a sensitive, objective tool for early detection of hypoxia-related cognitive dysfunction.
Abstract:
Chronic lung disease (CLD) in children represents a heterogeneous group of many clinico-pathological entities with risk of adverse impact of chronic or intermittent hypoxia. So far, few researchers have investigated the cognitive function in these children, and the role of auditory P300 in the assessment of their cognitive function has not been investigated yet. This study was designed to assess the cognitive functions among schoolchildren with different chronic pulmonary diseases using both auditory P300 and Stanford-Binet test. This cross-sectional study included 40 school-aged children who were suffering from chronic chest troubles other than asthma and 30 healthy children of similar age, gender and socioeconomic state as a control group. All subjects were evaluated through clinical examination, radiological evaluation and spirometry. Audiological evaluation included (basic otological examination, pure-tone, speech audiometry and immittancemetry). Cognitive function was assessed by auditory P300 and psychological evaluation using Stanford-Binet test (4th edition). Children with chronic lung diseases had significantly lower anthropometric measures compared to healthy controls. They had statistically significant lower IQ scores and delayed P300 latencies denoting lower cognitive abilities. Cognitive dysfunction correlated to severity of disease. P300 latencies were prolonged among hypoxic patients. Cognitive deficits in children with different chronic lung diseases were best detected using both Stanford-Binet test and auditory P300. P300 is an easy objective tool. P300 is affected early with hypoxia and could alarm subtle cognitive dysfunction.
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