Citation

Ego A, Lidzba K, Brovedani P, Belmonti V, Gonzalez-Monge S, Boudia B, Ritz A, Cans C. Dev. Med. Child Neurol. 2015; 57 Suppl 2: 46-51.

Affiliation

RHEOP (Registre des Handicaps de l'Enfant et Observatoire Périnatal Isère, Savoie et Haute-Savoie), Grenoble, F-38000, France; Pôle santé Publique, Centre Hospitalier Universitaire de Grenoble, Grenoble, F-38043, France; Université Grenoble Alpes/CNRS/TIMC-IMAG UMR 5525 (Equipe ThEMAS), Grenoble, F-38041, France.

Copyright

(Copyright © 2015, Mac Keith Press, Publisher John Wiley and Sons)

DOI

10.1111/dmcn.12687

PMID

25690117

Abstract

AIM: Visual perception is one of the cognitive functions often impaired in children with cerebral palsy (CP). The aim of this systematic literature review was to assess the frequency of visual-perceptual impairment (VPI) and its relationship with patient characteristics.

METHOD: Eligible studies were relevant papers assessing visual perception with five common standardized assessment instruments in children with CP published from January 1990 to August 2011.

RESULTS: Of the 84 studies selected, 15 were retained. In children with CP, the proportion of VPI ranged from 40% to 50% and the mean visual perception quotient from 70 to 90. None of the studies reported a significant influence of CP subtype, IQ level, side of motor impairment, neuro-ophthalmological outcomes, or seizures. The severity of neuroradiological lesions seemed associated with VPI. The influence of prematurity was controversial, but a lower gestational age was more often associated with lower visual motor skills than with decreased visual-perceptual abilities.

INTERPRETATION: The impairment of visual perception in children with CP should be considered a core disorder within the CP syndrome. Further research, including a more systematic approach to neuropsychological testing, is needed to explore the specific impact of CP subgroups and of neuroradiological features on visual-perceptual development.

Language: en