Congenital bilateral perisylvian syndrome: a case study.
We report the case of a 14-year-old boy with bilateral congenital perisylvian syndrome as evidenced by polymicrogyria in the left and right frontotemporal regions, pseudobulbar paresis, seizures, and spastic diplegia. This is the first description of comprehensive neuropsychological assessment in a child with this syndrome. The results reflect significant impairments in auditory processing and independent learning and retention, but relatively preserved cognitive performance on interactive tasks involving frequent feedback and redirection. The findings are interpreted in the context of the neuropathology of this syndrome, with an emphasis on pragmatic implications for rehabilitation.
Donders
Jacobus
J
1Psychology Service and 2Rehabilitation Technology Center, Mary Free Bed Rehabilitation Hospital, Grand Rapids, MI 49503, USA. jacobus.donders@maryfreebed.com
Mullarkey
Sr Kathryn
SK
Allchin
Joel
J
D000015:Abnormalities, Multiple / Q000175:diagnosis* / Q000473:pathology / Q000503:physiopathology; D000293:Adolescent; D002540:Cerebral Cortex / Q000002:abnormalities / Q000473:pathology* / Q000503:physiopathology; D003071:Cognition; D007839:Functional Laterality; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D054220:Malformations of Cortical Development / Q000175:diagnosis / Q000473:pathology*; D009421:Nervous System Malformations / Q000175:diagnosis* / Q000473:pathology / Q000503:physiopathology; D009483:Neuropsychological Tests; D020828:Pseudobulbar Palsy / Q000151:congenital / Q000175:diagnosis; D013577:Syndrome