Neuropsychological and adaptive functioning in younger versus older children shunted for early hydrocephalus |
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Authors: | Karen A. Holler Eileen B. Fennell Bruce Crosson Stephen R. Boggs J. Parker Mickle |
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Affiliation: | 1. University of Florida College of Health Related Professions, Department of Clinical and Health Psychology ,;2. Department of Neurosurgery , |
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Abstract: | Previous research on children with hydrocephalus has not carefully examined age-related changes in neuropsychological and behavioral status. We present data on 28 children with early hydrocephalus and spina bifida who were studied in two age groups: 5 - 7.5 and 9 - 12.5 years. Age-related differences in language, memory, visuomotor skills, and adaptive behaviors were examined. Consistent with other studies, the total sample showed impaired motor, performance, verbal, communication, and learning skills. Comparisons between older and younger children showed: (1) except for memory, neuropsychological patterns of functioning were generally comparable across the age groups, and (2) older children demonstrated more difficulty on specific adaptive functions (socialization, learning, conduct). Shunted hydrocephalic children may be conceptualized as exhibiting the syndrome of nonverbal learning disabilities. Clinical implications are discussed. |
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