[Neuropsychic development in children born with spina bifida].
The authors present the outcome of 42 patients operated at birth for closure of the spinal malformation. The age of patients at first observation ranged from 3 months to 21 years (mean 8.3 years); 7 patients (16.7%) had a close spina bifida, 35 (83.3%) had an open spina bifida and 30 (85.7%) of them developed hydrocephalus. The protocol included neurological evaluation, determination of development quotient using the Griffith's scale and intelligence quotient using the Wise-R scale. Adolescents underwent also the Blacky pictures test and Offer's interview. Verticalization and tutorial deambulation were achieved in 95.2% of patients; 76% of patients had a I.Q. > 90. The emotional situation was unsatisfactory in the majority of patients due to reduced autonomy and limited self-consideration.
Piazza
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Cattedra di Neuropsichiatria Infantile, I.R.C.C.S. C. Mondino, Pavia, Italia.
Astori
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MG
Mollica
F
F
Locatelli
D
D
Pezzotta
S
S
Pluderi
C
C
Caroli
A
A
Santi
L
L
Ferrari Ginevra
O
O
Lanzi
G
G
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D004644:Emotions; D005260:Female; D006801:Humans; D007223:Infant; D008137:Longitudinal Studies; D008297:Male; D009460:Neurologic Examination; D009483:Neuropsychological Tests; D009484:Neuropsychology; D000297:Psychology, Adolescent; D002666:Psychology, Child; D016135:Spinal Dysraphism / Q000175:diagnosis / Q000523:psychology*