关于西班牙语成年人患有菲兰-麦克德米德综合征的神经认知评估的建议:一个案例报告
Yvonne Flores Medina1, Aideé Gonzalez Gutierrez2, Juan Jorge Palacios Casados3
1Clinical Research, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Mexico City, MEX.
Cureus
|July 2, 2025
概括
本案例报告提出了西班牙语成年人患有Phelan-McDermid综合征 (PMS) 的神经认知评估,突出了语言,触觉感知和情感识别方面的缺陷. 这项研究强调了对这种罕见的神经发育障碍进行量身定制评估的必要性.
科学领域:
- 神经科学是一个神经科学.
- 遗传学 遗传学是一种遗传学.
- 心理学 心理学 心理学
背景情况:
- 菲兰-麦克德米德综合征 (PMS) 是一种罕见的神经发育障碍,由染色体22q13.33的缺失引起,导致SHANK3平分缺陷.
- 临床表现包括智力障碍,语言障碍,低血压,发作,感官异常和自闭症特征.
- 缺乏针对PMS的西班牙语成年人的标准化神经认知评估工具.
研究的目的:
- 为讲西班牙语,患有菲兰-麦克德米德综合征的成年人提供专门的神经认知评估组.
- 评估关键的认知领域,包括语言处理,触觉感知,执行功能和适应性行为.
- 为了解决在这个特定人群中评估神经认知功能所面临的挑战.
主要方法:
- 一个29岁的西班牙语妇女的病例报告,遗传确认了PMS (22q13.33删除包括SHANK3).
- 使用标准化测试进行神经心理评估 (例如PPVT-III,BRIEF-A,ABAS-II,PIEN-2,Ekman和Friesen适应测试).
- 评估语言,触觉感知,执行功能,适应性行为和面部情绪识别.
主要成果:
- 在表达性语言,声学歧视和触觉感知方面发现了严重的障碍.
- 观察到难以识别面部情绪,特别是恐惧,悲伤和中立表情.
- 在概念,社会和实践的适应性行为领域发现了严重的缺陷,而执行功能似乎在结构化环境中被保留了下来.
结论:
- 拟议的评估电池为评估PMS的西班牙语成年人的神经认知功能提供了一个结构化的框架.
- 新发现包括声学歧视和面部情绪识别方面的缺陷,这需要进一步研究.
- 这项研究强调了罕见遗传疾病的文化适应和专业评估的重要性.
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