A 7‐year longitudinal follow‐up of intellectual development in children with congenital hemiplegia

Aims  Our aim was to examine intellectual development in children with congenital hemiplegia from early childhood to adolescence. Method  Full‐scale IQ (FIQ), Verbal IQ (VIQ), and Performance IQ (PIQ) scores were measured in 32 participants (19 males, 13 females) with congenital hemiplegia at mean a...

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Veröffentlicht in:Developmental medicine and child neurology 2009-12, Vol.51 (12), p.959-967
Hauptverfasser: GONZALEZ‐MONGE, SIBYLLE, BOUDIA, BAYA, RITZ, ANNIE, ABBAS‐CHORFA, FATIMA, RABILLOUD, MURIEL, IWAZ, JEAN, BÉRARD, CAROLE
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container_issue 12
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container_title Developmental medicine and child neurology
container_volume 51
creator GONZALEZ‐MONGE, SIBYLLE
BOUDIA, BAYA
RITZ, ANNIE
ABBAS‐CHORFA, FATIMA
RABILLOUD, MURIEL
IWAZ, JEAN
BÉRARD, CAROLE
description Aims  Our aim was to examine intellectual development in children with congenital hemiplegia from early childhood to adolescence. Method  Full‐scale IQ (FIQ), Verbal IQ (VIQ), and Performance IQ (PIQ) scores were measured in 32 participants (19 males, 13 females) with congenital hemiplegia at mean ages of 4 years 6 months (SD 7mo; 31 participants), 7 years (SD 6mo; 23 participants), and 14 years (SD 1y 5mo; 26 participants). Results  The FIQ and VIQ scores did not change with age, but the PIQ declined significantly (0.7 points per year; p=0.004). The estimated mean (95% confidence intervals) scores in males born at term with right‐sided lesions without epilepsy were FIQ 106.5 (95.29–117.74), VIQ 105.9 (95.57–116.24), and PIQ 103.7 (93.19–114.31). Those means were negatively associated with preterm birth. PIQ was negatively associated with epilepsy. VIQ increased more quickly in males and in children with right‐sided lesions. Interpretation  The results confirm previous findings of FIQ stability, PIQ decline, the impact of epilepsy, and the status of females with left‐sided lesions, and also reveal the effect of gestational age at birth. They underline the importance of management focused on nonverbal functions and further the debate about the early lateralization of language, the ‘crowding effect’, and the difference in brain plasticity between males and females.
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Method  Full‐scale IQ (FIQ), Verbal IQ (VIQ), and Performance IQ (PIQ) scores were measured in 32 participants (19 males, 13 females) with congenital hemiplegia at mean ages of 4 years 6 months (SD 7mo; 31 participants), 7 years (SD 6mo; 23 participants), and 14 years (SD 1y 5mo; 26 participants). Results  The FIQ and VIQ scores did not change with age, but the PIQ declined significantly (0.7 points per year; p=0.004). The estimated mean (95% confidence intervals) scores in males born at term with right‐sided lesions without epilepsy were FIQ 106.5 (95.29–117.74), VIQ 105.9 (95.57–116.24), and PIQ 103.7 (93.19–114.31). Those means were negatively associated with preterm birth. PIQ was negatively associated with epilepsy. VIQ increased more quickly in males and in children with right‐sided lesions. Interpretation  The results confirm previous findings of FIQ stability, PIQ decline, the impact of epilepsy, and the status of females with left‐sided lesions, and also reveal the effect of gestational age at birth. 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Method  Full‐scale IQ (FIQ), Verbal IQ (VIQ), and Performance IQ (PIQ) scores were measured in 32 participants (19 males, 13 females) with congenital hemiplegia at mean ages of 4 years 6 months (SD 7mo; 31 participants), 7 years (SD 6mo; 23 participants), and 14 years (SD 1y 5mo; 26 participants). Results  The FIQ and VIQ scores did not change with age, but the PIQ declined significantly (0.7 points per year; p=0.004). The estimated mean (95% confidence intervals) scores in males born at term with right‐sided lesions without epilepsy were FIQ 106.5 (95.29–117.74), VIQ 105.9 (95.57–116.24), and PIQ 103.7 (93.19–114.31). Those means were negatively associated with preterm birth. PIQ was negatively associated with epilepsy. VIQ increased more quickly in males and in children with right‐sided lesions. Interpretation  The results confirm previous findings of FIQ stability, PIQ decline, the impact of epilepsy, and the status of females with left‐sided lesions, and also reveal the effect of gestational age at birth. They underline the importance of management focused on nonverbal functions and further the debate about the early lateralization of language, the ‘crowding effect’, and the difference in brain plasticity between males and females.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19469791</pmid><doi>10.1111/j.1469-8749.2009.03339.x</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-1324-0356</orcidid></addata></record>
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subjects Adolescent
Adolescents
Age Differences
Brain Hemisphere Functions
Cerebral Cortex - physiopathology
Child
Child Development
Child, Preschool
Children
Cognition Disorders - complications
Cognition Disorders - physiopathology
Congenital Impairments
Developmental Disabilities
Epilepsy
Epilepsy - complications
Epilepsy - physiopathology
Female
Females
Follow-Up Studies
Functional Laterality
Gender Differences
Hemiplegia - complications
Hemiplegia - congenital
Hemiplegia - physiopathology
Humans
Intellectual Development
Intelligence
Intelligence Quotient
Intervals
Life Sciences
Longitudinal Studies
Male
Males
Mental Retardation
Neuronal Plasticity
Other
Sex Factors
Wechsler Scales
Young Children
title A 7‐year longitudinal follow‐up of intellectual development in children with congenital hemiplegia
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