Journal
EUROPEAN JOURNAL OF PAEDIATRIC NEUROLOGY
Volume 21, Issue 1, Pages 193-201Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.ejpn.2016.10.003
Keywords
Childhood secondary dystonia; Cerebral palsy; Deep brain stimulation surgery
Categories
Funding
- Guy's and St Thomas' Charity [G060708]
- Dystonia Society UK [01/2011, 07/2013]
- Action Medical Research Grant [GN2907]
- National Institute for Health Research (NIHR/HEE Clinical Doctoral Research Fellowship) [CDRF-2013-04-039]
- National Institute for Health Research (NIHR)
- National Institute for Health Research [CDRF-2013-04-039] Funding Source: researchfish
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Background: Dystonia is characterised by involuntary movements (twisting, writhing and jerking) and postures. Secondary dystonias are described as a heterogeneous group of disorders with both exogenous and endogenous causes. There is a growing body of literature on the effects of deep brain stimulation (DBS) surgery on the motor function in childhood secondary dystonias, however research on cognitive function after DES is scarce. Methods: Cognitive function was measured in a cohort of 40 children with secondary dystonia following DBS surgery using a retrospective repeated measures design. Baseline pre-DBS neuropsychological measures were compared to scores obtained at least one year following DBS. Cognitive function was assessed using standardised measures of intellectual ability and memory. Results: There was no significant change in the assessed domains of cognitive function following DBS surgery. A significant improvement across the group was found on the Picture Completion subtest, measuring perceptual reasoning ability, following DBS. Conclusion: Cognition remained stable in children with secondary dystonia following DBS surgery, with some improvements noted in a domain of perceptual reasoning. Further research with a larger sample is necessary to further explore this, in particular to further subdivide this group to account for its heterogeneity. This preliminary data has potentially positive implications for the impact of DBS on cognitive functioning within the childhood secondary dystonia population. Crown (C) 2016 Published by Elsevier Ltd on behalf of European Paediatric Neurology Society. All rights reserved.
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