在儿童期脑内出血后的神经认知结果
Claire M Champigny1, Leila Kahnami1,2, Tamiko Isaacs2
1Department of Psychology, The Hospital for Sick Children, Toronto, Canada.
概括
患有童年脑内出血 (ICH) 的儿童往往会经历神经认知缺陷. 虽然全尺度智商 (Full Scale IQ) 可能看起来平均,但某些特定领域,如语言学习和处理速度,显示出显著的障碍,需要临床关注.
科学领域:
- 儿科神经学 儿科神经学
- 神经心理学 神经心理学
背景情况:
- 儿童时期的大脑内出血 (ICH) 可能导致神经认知缺陷.
- 这种儿科人口在长期神经认知结果方面仍未得到充分研究.
研究的目的:
- 为了进行一项关于神经认知结果的初步探索,在有史以来ICH的儿童中.
- 确定受儿童ICH影响的特定神经认知领域.
主要方法:
- 对17名儿科患者进行了神经心理评估,这些患者有ICH病史.
- 评估的领域包括感知推理,口头推理,处理速度,工作记忆,口头学习,口头记忆,视觉运动集成,选择性注意力和执行功能.
主要成果:
- 平均全尺度智商 (FSIQ) 在临床平均范围内,但偏向较低的得分.
- 50-60%的参与者在口头学习,口头记忆,处理速度和视觉运动集成方面得分低于平均水平.
- 患有童年ICH的年轻人可能表现出平均的FSIQ,但在群体层面上表现出较低范围和特定领域缺陷的偏差.
结论:
- 患有ICH史的儿童可能具有平均整体智商,但在特定的神经认知领域存在缺陷.
- 综合的神经心理评估对于理解和管理这些缺陷至关重要.
- 结果为临床实践提供信息,包括摄入访谈,测试电池开发和预后评估.
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