Neurosurgery, Children's Hospital of Fudan University, Shanghai, China.
Soc Neurosci. 2021 Apr;16(2):166-173. doi: 10.1080/17470919.2021.1879931. Epub 2021 Feb 8.
Agenesis of the corpus callosum (ACC) is a common congenital brain malformation. Most patients with no combined abnormalities have a good prognosis, but impairments have been observed in their sleep, feeding, and higher-order cognitive functions. Sixty-three Chinese ACC patients, aged 0-3 years, were included in our cross-sectional online research. The Chinese version of Infant-Toddler Social and Emotional Assessment (ITESA), the Brief Infant Sleep Questionnaire (BISQ), and the Montreal Children's Hospital Feeding Scale (MCH-FS) were used to assess these patients. We also used the brief version of the World Health Organization's Quality of Life Instrument (WHOQOL-BREF) to evaluate their parents. 43% of patients had ITESA domain problem: 10% in Externalizing, 7% in Internalizing, 3% in Dysregulation, and 30% in Competence. 52% of the patients were rated by their parents as having a sleep problem. Feeding difficulties occurred in 23% of patients. Patients' sleep and feeding problems were significantly correlated with their social and emotional performance, which influenced the life quality of their parents. Patients with intracranial abnormalities had more internalizing problems. In conclusion, sleep and feeding problems in young ACC patients might indicate their social-emotional problems. The problems in ACC patients were correlated with the life quality of their parents.
胼胝体发育不全(ACC)是一种常见的先天性脑畸形。大多数无合并异常的患者预后良好,但在睡眠、喂养和高级认知功能方面存在障碍。我们的横断面在线研究纳入了 63 名 0-3 岁的中国 ACC 患者。采用婴儿-幼儿社交和情绪评估量表(ITESA)中文版、简短婴儿睡眠问卷(BISQ)和蒙特利尔儿童医院喂养量表(MCH-FS)对这些患者进行评估。我们还使用世界卫生组织生活质量量表简表(WHOQOL-BREF)评估了患儿父母的生活质量。43%的患儿存在 ITESA 领域问题:10%存在外向问题,7%存在内向问题,3%存在失调问题,30%存在能力问题。52%的患儿父母报告存在睡眠问题。23%的患儿存在喂养困难。患儿的睡眠和喂养问题与其社交和情绪表现显著相关,影响了其父母的生活质量。存在颅内异常的患儿更易出现内向问题。总之,ACC 患儿的睡眠和喂养问题可能提示其存在社交情感问题,其问题与父母的生活质量相关。