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1.
Res Dev Disabil ; 90: 72-79, 2019 Jul.
Article in English | MEDLINE | ID: mdl-31082681

ABSTRACT

Intelligence measures are typically used in the assessment of children with autism spectrum disorders (ASD), but there is a paucity of research on the implications of such testing. In the present study, we examined children with ASD using two of the most largely adopted instruments, i.e., the WISC-IV, arguably the most utilized scale in the world; and the Leiter-3, a nonverbal scale that also excludes, from the IQ calculation, working memory and processing speed, which are points of weakness in ASD. Results showed that IQ and indices of these two batteries are strongly correlated. However, the WISC-IV IQ might underestimates the potential of children with ASD, particularly in children with a low functioning profile. These hold true for both the full scale IQ and three out of four indices of the WISC-IV, with remarkable implications for both assessment and treatment of these children. Practitioners working with children with ASD should be aware that the battery that they are using might severely affect the estimation of these children's potential.


Subject(s)
Autism Spectrum Disorder , Cognition , Intelligence Tests/standards , Adolescent , Autism Spectrum Disorder/diagnosis , Autism Spectrum Disorder/epidemiology , Autism Spectrum Disorder/psychology , Child , Comparative Effectiveness Research , Female , Humans , Intelligence , Italy/epidemiology , Male , Memory, Short-Term , Wechsler Scales
2.
Neurol Sci ; 32(6): 1179-86, 2011 Dec.
Article in English | MEDLINE | ID: mdl-21607754

ABSTRACT

Slowly progressive aphemia (SPA) is a rare focal degenerative disorder characterized by severe dysarthria, frequent orofacial apraxia, dysprosody, phonetic and phonemic errors without global cognitive deterioration for many years. This condition is caused by a degeneration of anterior frontal lobe regions, mainly of the left frontal operculum. We report a case of SPA with a course of 8 years, evaluated by repeated neuropsychological, conventional, and functional MRI examinations. In our case, neuropsychological examinations showed a progressive impairment of speech articulation including dysprosody, phonetic and phonemic errors, and slight writing errors. No global cognitive deterioration was detected and the patient is still completely autonomous. Morphological and functional investigations showed, respectively, a progressive atrophy and progressive impairment of the left frontal region, confirming the role of the opercular region in determining this rare syndrome. During verbal task generation as the cortical activation of this region gradually decreased, the language articulation worsened.


Subject(s)
Apraxias/diagnosis , Apraxias/physiopathology , Magnetic Resonance Imaging , Neuropsychological Tests , Aged , Brain/blood supply , Brain/pathology , Disease Progression , Humans , Image Processing, Computer-Assisted , Language Tests , Longitudinal Studies , Male , Mental Status Schedule , Oxygen/blood
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