Department of Neurology, Center for Translational and Computational Neuroimmunology, Columbia University Irving Medical Center, New York, NY, USA.
Columbia University Teacher's College, New York, NY, USA.
Mult Scler. 2020 Nov;26(13):1633-1637. doi: 10.1177/1352458520923946. Epub 2020 May 28.
Limited data suggest that adolescents with multiple sclerosis (MS) frequently discontinue school. While it is known that cognitive impairment occurs in 30% to 50% of children with MS, the functional impact of childhood MS on academic achievement is virtually unknown.
To that end, this paper builds an evidence-based argument for evaluating educational outcomes in children with MS.
This will be accomplished through (a) a review of pediatric MS and its cognitive consequences; (b) a selective review of the utility of neuropsychological batteries in assessing academic outcomes in pediatric populations in general; and (c) a brief overview of modifiable factors that have a potential benefit on school outcomes in children with MS.
Scholastic achievement should be assessed as part of the routine cognitive screening of children and adolescents with MS.
有限的数据表明,多发性硬化症(MS)青少年经常辍学。虽然已知 30% 至 50% 的儿童 MS 患者存在认知障碍,但儿童 MS 对学业成绩的功能影响实际上是未知的。
为此,本文提出了一个基于证据的论点,以评估儿童 MS 的教育成果。
这将通过以下方式实现:(a)对儿科 MS 及其认知后果的综述;(b)对神经心理学电池在评估儿科人群学业成绩方面的效用的选择性综述;以及(c)对可能对 MS 儿童学校成绩产生有益影响的可改变因素的简要概述。
在对儿童和青少年 MS 患者进行常规认知筛查时,应评估学业成绩。