1American University of Beirut,Department of Psychiatry,Beirut,Lebanon.
3American University of Beirut,Department of Education,Beirut,Lebanon.
J Int Neuropsychol Soc. 2019 Mar;25(3):336-342. doi: 10.1017/S1355617718001133. Epub 2019 Feb 7.
This study, reports for the first time, the neuropsychological profile of a child with Hamamy syndrome-a rare genetic disorder with only five published cases (Buget, Canbolat, Akgul, & Kucukay, 2015). The patient was seen for a neuropsychological evaluation at ages 6 and 7, at the American University of Beirut Medical Center. Procedures included an extended clinical interview with the parent, behavioral observations, formal tests, and a series of parental rating scales. Patient was found to have relatively spared nonverbal intelligence, borderline-impaired language, and clinically impaired verbal reasoning, attention, and motor coordination. Additionally, he showed clinically significant concerns with behavioral regulation, metacognition, attention-deficit, and hyperactivity/impulsivity. The patient was diagnosed with a DSM-V Language Disorder, Speech Sound Disorder, and Attention Deficit/Hyperactivity Disorder, combined presentation, in the context of low-average intelligence. At follow-up, the neuropsychological profile was consistent, albeit improvement was noted following pharmacotherapy. This is the first published report that describes the neuropsychological functions of Hamamy syndrome. We make recommendations for early identification of cognitive strengths and weaknesses, and interventions to address them. Future research should evaluate additional functions such as memory and social/emotional development. (JINS, 2019, 25, 336-342).
本研究首次报告了一例哈马米综合征(Hamamy syndrome)患儿的神经心理学特征。这是一种罕见的遗传疾病,仅有五例已发表病例(Buget、Canbolat、Akgul 和 Kucukay,2015)。该患儿于 6 岁和 7 岁时在贝鲁特美国大学医学中心接受神经心理学评估。评估程序包括与家长进行扩展的临床访谈、行为观察、正式测试和一系列家长评定量表。患儿的非言语智力相对较好,语言能力轻度受损,言语推理、注意力和运动协调能力明显受损。此外,他还表现出明显的行为调节、元认知、注意力缺陷和多动/冲动问题。患儿被诊断为 DSM-V 语言障碍、语音障碍和注意力缺陷/多动障碍,伴有平均智力水平下的低智。随访时,神经心理学特征保持一致,但药物治疗后有所改善。这是首例描述哈马米综合征神经心理学功能的报告。我们建议早期识别认知优势和劣势,并采取干预措施。未来的研究应评估其他功能,如记忆和社会/情感发展。(JINS,2019,25,336-342)。