Naslov
Cerebral visual impairment in the child with periventricular leukomalacia

Autori
Mejaški Bošnjak, Vlatka ; Alimović, Sonja ; Delin, Sanja ; Milaščević, Darko ; Vulin, Katarina ; Đaković, Ivana

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Together We are Stronger, 30th Annual Meeting of European Academy of Childhood Disability, 28-31 May, 2018. Tbilisi, Georgia. / - , 2018, 20-21

Skup
30th Annual Meeting of European Academy of Childhood Disability, EACD 2018.

Mjesto i datum
Tbilisi, Gruzija, 28.05.2018. - 31.05.2018

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
cerebral visual impairment, child, periventricular leukomalacia

Sažetak
INTRODUCTION: Cerebral visual impairment (CVI) is the most common cause of permanent visual impairment in children. The diagnosis of CVI is indicated for children showing abnormal visual responses that cannot be attributed to eyes themselves. Visual spatial disturbances are associated with „dorsal“ visual association pathway. Visual perceptual disturbances are associated with „ventral“ visual pathway. The most common causes of CVI in children are perinatal brain damage, particularly periventricular leukomalacia (PVL). Accompanying features of CVI include cerebral palsy (CP) and developmental delays. Confusing diagnostic entities include: delayed visual maturation, autism spectrum disorders, profound mental retardation and epilepsy. PATIENTS AND METHODS: We present CVI in the girl born from mother suffering diabetes mellitus type I, had perinatal asphyxia. Brain ultrasound revealed cystic PVL, later confirmed by MRI. Motor development was delayed. She suffered epilepsy since the age 3y. RESULTS: At the age of 12 y according to SCPE classification she had bilateral spastic CP, GMFCS 2, BFMF 2b, impaired vision, normal hearing and stabilized epilepsy. Ophthalmological examination: strabismus, glasses, pale optic disc, bilateral hypermetropia, ERG-normal, VEP-damaged neural conductivity bilateral. Psychological assessment (MVPT, WISC-IV): schooling with personal assistant, short attention span, difficulties of spatial, visual and auditory integration. Difficulties of visual focusing and perception are dominant. Intellectual capacities uneven, best in verbal skills and memory. CONCLUSION: If CVI is unrecognized due to co-existing neurodevelopmental disorders, potential for habilitation may be lost. This is a missed opportunity to provide an adequate support which can make a huge difference to outcome.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA