Gross-Tsur V, Shalev R S, Manor O, Amir N
Shaare Zedek Medical Center, Jerusalem, Israel.
J Learn Disabil. 1995 Feb;28(2):80-6.
We report the clinical characteristics of the developmental right-hemisphere syndrome (DRHS), a nonverbal learning disability, in 20 children (9 girls and 11 boys; mean age = 9.5 years) who also manifested attention-deficit/hyperactivity disorder (ADHD), severe graphomotor problems, and marked slowness of performance. Diagnostic criteria for this study included (a) emotional and interpersonal difficulties; (b) paralinguistic communication problems; (c) impaired visuospatial skills, verbal IQ > performance IQ, and verbal IQ > or = 85; and either (d) dyscalculia or (e) neurological signs on the left side of the body. In this group, verbal IQ was significantly higher than performance IQ (106.6 +/- 13.0 vs. 85.1 +/- 13.1, respectively, p < .01). Arithmetic was the lowest score among the verbal subtests (7.8 +/- 3.5, p < .01) and Geometrical Design was the lowest score among the performance subtests (5.8 +/- 1.7). Thirteen children had soft neurological signs on the left side of the body. ADHD was seen in all 20 children, marked slowness of performance in 16, and severe graphomotor problems in 18. The latter two features have not been previously described as part of DRHS.
我们报告了20名儿童（9名女孩和11名男孩；平均年龄=9.5岁）发育性右半球综合征（DRHS）的临床特征，这是一种非言语学习障碍，这些儿童还表现出注意力缺陷/多动障碍（ADHD）、严重的书写运动问题和明显的执行迟缓。本研究的诊断标准包括：（a）情绪和人际交往困难；（b）副语言交流问题；（c）视觉空间技能受损，言语智商>操作智商，且言语智商>或=85；以及（d）计算障碍或（e）身体左侧的神经学体征。在这组儿童中，言语智商显著高于操作智商（分别为106.6±13.0和85.1±13.1，p<.01）。算术是言语子测试中得分最低的（7.8±3.5，p<.01），而几何设计是操作子测试中得分最低的（5.8±1.7）。13名儿童身体左侧有软性神经学体征。20名儿童均患有ADHD，16名表现出明显的执行迟缓，18名有严重的书写运动问题。后两个特征以前未被描述为DRHS的一部分。
