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Specific learning disorder in mathematics and moyamoya disease: A case report
Applied Neuropsychology: Child ( IF 1.4 ) Pub Date : 2022-02-09 , DOI: 10.1080/21622965.2022.2033745
Cynthia Mikula 1 , Jeong Hye Kim 2 , Richard Phenis 3 , Andrew Kiselica 1
Affiliation  

Abstract

Moyamoya disease (MMD) is a rare neurological condition that causes impaired blood flow to the brain, transient ischemic attacks or strokes, and accompanying cognitive impairments, especially in executive functioning. There is little data on the impact of this rare condition on academic outcomes in late childhood and adolescence. Here, we present the case of Ms. X, a 17-year-old white female diagnosed with MMD, who presented with evidence of a specific learning disorder (SLD) in mathematics. Ms. X was diagnosed with MMD at 6 years old and underwent revascularization surgery. Though she recovered well and progressed adequately in home schooling, she and her mother noticed a decline in memory and academic performance around 16 years old, prompting a neuropsychological evaluation. Cognitive testing revealed low average overall cognitive abilities with impaired planning and organizational skills. While her reading and spelling skills were consistent with her 10th grade academic level, she scored in the 1st percentile on the WRAT-5 Math Computation section, and her mathematical skills were estimated to be at a 2nd grade level. This case adds to the literature by documenting a specific area of academic deficit in an adolescent with MMD. The case highlights that individuals with MMD, especially those with similar executive deficits, may experience selective learning challenges in mathematics. Children with MMD may benefit from specialized academic services and interventions in specific areas of difficulty.



中文翻译:

特定的数学学习障碍和烟雾病:一例报告

摘要

烟雾病 (MMD) 是一种罕见的神经系统疾病,会导致大脑血流受损、短暂性脑缺血发作或中风,以及伴随的认知障碍,尤其是执行功能障碍。关于这种罕见病症对儿童晚期和青春期学业成绩影响的数据很少。在此,我们介绍 X 女士的案例,她是一名被诊断患有 MMD 的 17 岁白人女性,她提供了数学方面特定学习障碍 (SLD) 的证据。X 女士在 6 岁时被诊断出患有 MMD,并接受了血运重建手术。虽然她恢复得很好,在家学习也取得了充分的进步,但她和她的母亲在 16 岁左右注意到记忆力和学习成绩下降,促使进行了神经心理学评估。认知测试显示平均整体认知能力较低,计划和组织能力受损。虽然她的阅读和拼写技能与她 10 年级的学术水平一致,但她在 WRAT-5 数学计算部分的得分为第 1 个百分位,她的数学技能估计处于 2 年级水平。这个案例通过记录患有 MMD 的青少年的特定学术缺陷领域增加了文献。该案例强调患有 MMD 的人,尤其是具有类似执行缺陷的人,可能会遇到选择性的数学学习挑战。患有 MMD 的儿童可能会受益于针对特定困难领域的专门学术服务和干预措施。虽然她的阅读和拼写技能与她 10 年级的学术水平一致,但她在 WRAT-5 数学计算部分的得分为第 1 个百分位,她的数学技能估计处于 2 年级水平。这个案例通过记录患有 MMD 的青少年的特定学术缺陷领域增加了文献。该案例强调患有 MMD 的人,尤其是具有类似执行缺陷的人,可能会遇到选择性的数学学习挑战。患有 MMD 的儿童可能会受益于针对特定困难领域的专门学术服务和干预措施。虽然她的阅读和拼写技能与她 10 年级的学术水平一致,但她在 WRAT-5 数学计算部分的得分为第 1 个百分位,她的数学技能估计处于 2 年级水平。这个案例通过记录患有 MMD 的青少年的特定学术缺陷领域增加了文献。该案例强调患有 MMD 的人,尤其是具有类似执行缺陷的人,可能会遇到选择性的数学学习挑战。患有 MMD 的儿童可能会受益于针对特定困难领域的专门学术服务和干预措施。这个案例通过记录患有 MMD 的青少年的特定学术缺陷领域增加了文献。该案例强调患有 MMD 的人,尤其是具有类似执行缺陷的人,可能会遇到选择性的数学学习挑战。患有 MMD 的儿童可能会受益于针对特定困难领域的专门学术服务和干预措施。这个案例通过记录患有 MMD 的青少年的特定学术缺陷领域增加了文献。该案例强调患有 MMD 的人,尤其是具有类似执行缺陷的人,可能会遇到选择性的数学学习挑战。患有 MMD 的儿童可能会受益于针对特定困难领域的专门学术服务和干预措施。

更新日期:2022-02-09
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