Hommet C, Billard C, Gillet P, Barthez M A, Lourmiere J M, Santini J J, de Toffol B, Corcia P, Autret A
Service de Neurologie, Hôpital Bretonneau, Tours, France.
J Child Neurol. 1999 Mar;14(3):144-50. doi: 10.1177/088307389901400302.
The major aim of this study was to assess whether the syndrome of nonverbal learning disabilities described in hydrocephalic children is observed in adulthood. Eleven adults shunted for congenital hydrocephalus related to spina bifida and eight adults shunted for hydrocephalus related to aqueductal stenosis were administered an extensive neuropsychologic battery to investigate discrepancies between verbal and visuospatial cognition, verbal and visuospatial long-term memory, and psycho-social adaptive abilities. The results showed no discrepancies between Wechsler Performance IQ or Verbal IQ in either hydrocephalic group. Nevertheless, the subjects with spina bifida appeared more cognitively impaired than the subjects with aqueductal stenosis, who performed normally on the Wechsler Adult Intelligence Scale-Revised. Memory assessment using Signoret's Memory Battery revealed no discrepancy between verbal and visuospatial memory in the hydrocephalic group. Nevertheless, the subjects with spina bifida had poorer verbal and visuospatial memory performance than the subjects with aqueductal stenosis. There were no differences on the Vineland Adaptive Behavioral Scale between subjects with spina bifida and those with aqueductal stenosis in autonomy, socialization, and daily living skills. These results suggest that shunted congenital hydrocephalus is not characterized by nonverbal learning disabilities syndrome in adolescence or in adulthood.
本研究的主要目的是评估在脑积水儿童中所描述的非言语学习障碍综合征在成年期是否依然存在。对11名因脊柱裂相关先天性脑积水而接受分流手术的成年人以及8名因导水管狭窄相关脑积水而接受分流手术的成年人进行了全面的神经心理学测试，以调查言语与视觉空间认知、言语与视觉空间长期记忆以及心理社会适应能力之间的差异。结果显示，在任一脑积水组中，韦氏操作智商或言语智商之间均无差异。然而，脊柱裂患者似乎比导水管狭窄患者的认知障碍更严重，后者在修订版韦氏成人智力量表上表现正常。使用西诺雷记忆量表进行的记忆评估显示，脑积水组的言语记忆和视觉空间记忆之间没有差异。然而，脊柱裂患者的言语和视觉空间记忆表现比导水管狭窄患者更差。在适应行为方面，脊柱裂患者和导水管狭窄患者在自主性、社交能力和日常生活技能方面在文兰适应行为量表上没有差异。这些结果表明，接受分流手术的先天性脑积水在青春期或成年期并非以非言语学习障碍综合征为特征。
