METHODS: Forty-seven children of school age in northern Stockholm, fulfilling the Surveillance of Cerebral Palsy in Europe-criteria of hemiplegic (unilateral spastic) cerebral palsy, were invited to participate in the study. Twenty-one children consented to participate. A WISC (Wechsler Intelligence Scale for Children)-test was performed by an experienced psychologist.
RESULTS: In the study population of twenty-one children, 57 % (n 12) displayed uneven cognitive profiles, 38 % (n 8) intellectual disability and 62 % (n 13) had a normal IQ. 43 % (n 9) developed epilepsy. Children with extensive brain lesions had more severe intellectual disability.
CONCLUSIONS: In this study intellectual disability and/or epilepsy were associated with the type and extent of the underlying brain lesion. Intellectual disability and uneven cognitive profiles were common. We therefore recommend individual cognitive assessment to ensure an optimal school start.
方法:斯德哥尔摩北部的47名学龄儿童,在欧洲完成脑瘫的监测-偏瘫(单侧痉挛)脑瘫的标准,被邀请参加这项研究。21名儿童同意参加。WISC(韦克斯勒儿童智力量表)测试由经验丰富的心理学家进行。
结果:在21名儿童的研究人群中,57%(n12)表现出不均衡的认知特征,38%(n8)的智力障碍和62%(n13)的智商正常。43%(n9)发展为癫痫。患有广泛脑部病变的儿童有更严重的智力障碍。
结论:在这项研究中,智力障碍和/或癫痫与潜在脑损伤的类型和程度有关。智力残疾和认知状况不均衡很常见。因此,我们建议进行个人认知评估,以确保最佳的开学。