Stable cognitive functioning with improved perceptual reasoning in children with dyskinetic cerebral palsy and other secondary dystonias after deep brain stimulation

Autor: Jean-Pierre Lin, Tamsin Owen, Dolapo Adegboye, Richard Selway, Hortensia Gimeno
Jazyk: angličtina
Rok vydání: 2016
Předmět:
0301 basic medicine
Male
medicine.medical_specialty
Deep brain stimulation
Adolescent
medicine.medical_treatment
Deep Brain Stimulation
Population
Neuropsychological Tests
behavioral disciplines and activities
Cerebral palsy
Cohort Studies
Perceptual Disorders
03 medical and health sciences
0302 clinical medicine
Physical medicine and rehabilitation
Cognition
medicine
Humans
education
Child
Problem Solving
Retrospective Studies
Dystonia
education.field_of_study
Cerebral Palsy
Neuropsychology
Wechsler Scales
Repeated measures design
General Medicine
medicine.disease
nervous system diseases
Childhood secondary dystonia
030104 developmental biology
Treatment Outcome
surgical procedures
operative

Dystonic Disorders
Deep brain stimulation surgery
Child
Preschool

Pediatrics
Perinatology and Child Health

Physical therapy
Female
Neurology (clinical)
Psychology
Cognition Disorders
030217 neurology & neurosurgery
Dyskinetic cerebral palsy
Zdroj: Owen, T, Adegboye, D, Gimeno, H, Selway, R & Lin, J-P 2016, ' Stable cognitive functioning with improved perceptual reasoning in children with dyskinetic cerebral palsy and other secondary dystonias after deep brain stimulation ', European Journal of Paediatric Neurology . https://doi.org/10.1016/j.ejpn.2016.10.003
DOI: 10.1016/j.ejpn.2016.10.003
Popis: BackgroundDystonia is characterised by involuntary movements (twisting, writhing and jerking) and postures. Secondary dystonias are described as a heterogeneous group of disorders with both exogenous and endogenous causes. There is a growing body of literature on the effects of deep brain stimulation (DBS) surgery on the motor function in childhood secondary dystonias, however research on cognitive function after DBS is scarce.MethodsCognitive function was measured in a cohort of 40 children with secondary dystonia following DBS surgery using a retrospective repeated measures design. Baseline pre-DBS neuropsychological measures were compared to scores obtained at least one year following DBS. Cognitive function was assessed using standardised measures of intellectual ability and memory.ResultsThere was no significant change in the assessed domains of cognitive function following DBS surgery. A significant improvement across the group was found on the Picture Completion subtest, measuring perceptual reasoning ability, following DBS.ConclusionCognition remained stable in children with secondary dystonia following DBS surgery, with some improvements noted in a domain of perceptual reasoning. Further research with a larger sample is necessary to further explore this, in particular to further subdivide this group to account for its heterogeneity. This preliminary data has potentially positive implications for the impact of DBS on cognitive functioning within the childhood secondary dystonia population.
Databáze: OpenAIRE