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Published on: February 4, 2022
The role of cerebellum in the child neuropsychological functioning
Georges Dellatolas1, Hugo Câmara-Costa2
1GRC 24, Handicap Moteur et Cognitif et Réadaptation, Sorbonne Université, Paris, France.
Insights
This review explores neuropsychological and behavioral outcomes in pediatric cerebellar disorders. It highlights the cerebellum's role in cognitive functions and neurodevelopmental conditions in children.
Area of Science:
- Neuroscience
- Pediatric Neurology
- Developmental Psychology
Background:
- The cerebellum, traditionally linked to motor control, plays a crucial role in cognitive and behavioral development.
- Pediatric cerebellar pathologies encompass a range of conditions including malformations, ataxias, tumors, and acquired injuries.
- Understanding cerebellar function is vital for addressing neurodevelopmental disorders and cognitive deficits in children.
Purpose of the Study:
- To review neuropsychologic and behavioral findings in pediatric cerebellar pathologies.
- To examine the cerebellum's role in cognitive development, neurodevelopmental disorders, and specific cognitive/motor functions.
- To discuss the cognitive-affective syndrome in children with cerebellar disorders.
Main Methods:
- Literature review of neuropsychologic and behavioral studies.
- Analysis of findings related to cerebellar malformations, ataxias, tumors, and injuries.
- Synthesis of research on cerebellar mutism, preterm development, and neurodevelopmental disorders (autism, dyslexia).
Main Results:
- Pediatric cerebellar disorders are associated with a spectrum of neuropsychologic and behavioral deficits.
- The cerebellum is implicated in working memory, language, timing, and eye movement control.
- Cerebellar function is integral to typical development and is affected in conditions like autism spectrum disorder and developmental dyslexia.
Conclusions:
- The cerebellum's influence extends beyond motor control to complex cognitive and affective functions.
- Understanding cerebellocerebral connections and internal organization is key to interpreting cognitive findings.
- Further research is needed to refine the understanding of the cognitive-affective syndrome in pediatric cerebellar disorders.
Abstract:
This chapter proposes a review of neuropsychologic and behavior findings in pediatric pathologies of the cerebellum, including cerebellar malformations, pediatric ataxias, cerebellar tumors, and other acquired cerebellar injuries during childhood. The chapter also contains reviews of the cerebellar mutism/posterior fossa syndrome, reported cognitive associations with the development of the cerebellum in typically developing children and subjects born preterm, and the role of the cerebellum in neurodevelopmental disorders such as autism spectrum disorders and developmental dyslexia. Cognitive findings in pediatric cerebellar disorders are considered in the context of known cerebellocerebral connections, internal cellular organization of the cerebellum, the idea of a universal cerebellar transform and computational internal models, and the role of the cerebellum in specific cognitive and motor functions, such as working memory, language, timing, or control of eye movements. The chapter closes with a discussion of the strengths and weaknesses of the cognitive affective syndrome as it has been described in children and some conclusions and perspectives.
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