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Konuşma Geriliği Sebebi ile Takip Edilen Çocukların Nörolojik Açıdan Değerlendirilmesi

Yıl 2023, Cilt: 33 Sayı: 1, 61 - 66, 28.02.2023
https://doi.org/10.54005/geneltip.1211492

Öz

ÖZ
Amaç: Bu çalışmanın amacı çocuk nöroloji polikliniğine konuşma geriliği şikayeti ile başvuran hastaların nörolojik yönden değerlendirilmesidir.
Metot: Dr. Ali Kemal Belviranlı Kadın Doğum ve Çocuk Hastanesi ile Konya Şehir Hastanesi çocuk nöroloji polikliniğinde Şubat-Ekim 2022 tarihleri arasında konuşma geriliği tedavisi gören hastaların verileri retrospektif olarak incelendi.
Bulgular: Çalışmaya yaş ortalaması 41.1+16.2 ay olan 149 hasta alındı, hastaların %74.5'i erkekti. Çocukların %8,7'sinde prematüre öyküsü olduğu, %16,1'inin ailesinde konuşma geriliği olduğu saptandı. Elektroensefalografide hastaların %2,6'sında epileptik bozukluklar, %16,7'sinde psikiyatrik bozukluklar (%8,7 otizm), %0,7'sinde işitme kaybı, %75,8'inde izole dil alanında gelişme geriliği ve %24,2'sinde global gelişme geriliği saptandı. Beyin manyetik rezonans görüntüleme %3,3'lük bir anormallik gösterdi. Ayrıca hastalarımızın %52,3'ünün uyaran eksikliği olduğu, %59,7'sinin yoğun medya kullandığı saptandı.
Sonuç: Konuşma geriliği ve eşlik eden patolojilerin erken tanı ve tedavisi açısından konuşma geriliği nedeniyle getirilen çocuklarda tanısal yaklaşım önemlidir.

Destekleyen Kurum

YOK

Proje Numarası

YOK

Teşekkür

Hastaların bakımında çalışan tüm sağlık çalışanlarına değerli yardımları için teşekkür ederiz.

Kaynakça

  • İnce H, Say GN, Başaran A, Akoğlu SÇ, Bekaroğlu A, Taşdemir HA. Konuşma Geriliğindeki Etiyolojik Nedenlerin Çocuk Nörolojisi Perspektifinden İncelenmesi. Turkish J Pediatr Dis 2022; 16: 264-269
  • Shriberg LD. Four new speech and Prosody-Voice measures for genetics research and other studies in developmental phonological disorders. J Speech Hear Res 1993; 36:105–140
  • Shriberg LD, Austin D, Lewis BA, McSweeny JL, Wilson DL. The speech disorders classification system (SDCS): Extensions and lifespan reference data. J Speech, Lang Hear Res 1997; 40:723–740
  • Weismer G, Brown DK. Language science. Introduction to communication Sciences and Disorders: The Scientific Basis of clinical practice. 1st ed. San Diego, cA: plural publishing; 2019. p.36-44
  • Kirschner S, Tomasello M. Joint music making promotes prosocial behavior in 4-year old children. Evol Hum Behav 2010; 31(5):354-364
  • Raitano NA, Pennington BF, Tunick RA, Boada R, Shriberg LD. Pre-literacy skills of subgroups of children with speech sound disorders. J Child Psychol Psychiatry 2004; 45(4):821-835
  • Dosman CF, Andrews D, Goulden KJ. Evidence-based milestone ages as a framework for developmental surveillance. Paediatr Child Health 2012; 17(10):561-568
  • Paul D, Roth FP. Guiding principles and clinical applications for speech language pathology practice in early intervention. Lang Speech Hear Serv Sch 2011; 42(3):320-330
  • Yalaz K, Anlar B, Bayoglu B. Denver II Gelişimsel Tarama Testi Türkiye Standardizasyonu. Gelişimsel Çocuk Nörolojisi Derneği. 1. Baskı. Ankara: Anıl Grup matbaacılık; 2010
  • Roulstone S, Peters TJ, Glogowska M, Enderby P. A 12-month follow-up of preschool children investigating the natural history of speech and language delay. Child Care Health Dev 2003; 29(4):245-255
  • McQuiston S, Kloczko N. Speech and language development: monitoring process and problems. Pediatr Rev 2011; 32(6):230-238; quiz 239
  • Morgan A, Ttofari Eecen K, Pezic A, Brommeyer K, Mei C, Eadie P, et al. Who to Refer for Speech Therapy at 4 Years of Age Versus Who to “Watch and Wait”? J Pediatr 2017; 185:200-204. e1
  • Sunderajan T, Kanhere S. Speech and language delay in children: Prevalence and risk factors. J Fam Med Prim Care 2019; 8:1642-1646
  • Kabukçu Başay B, Tezer D. 3 yaş öncesi konuşma gecikmesi nedeniyle çocuk psikiyatri polikliniklerine başvuran çocuklara ne oldu? 2 yıl sonrasına ait veriler. Pamukkale Med J 2020; 13:373–384
  • King TM, Rosenberg LA, Fuddy L, McFarlane E, Sia C, Duggan AK. Prevalence and early identification of language delays among at-risk three year olds. J Dev Behav Pediatr 2005; 26(4):293-303
  • Coplan J. Evaluation of the child with delayed speech or language. Pediatr Ann 1985; 14(3):203-208
  • Yücel Şen AD, Çarman KB. Normal nörolojik gelişim ve takip testleri. Çarman KB, editör. Gelişimsel Nöroloji. 1. Baskı. Ankara: Türkiye Klinikleri 2022. p.20-24
  • Bishop Dvm, Snowling MJ, Thompson PA, Greenhalgh T; and the cATALISE-2 consortium. phase 2 of cATALISE: a multinational and multidisciplinary Delphi consensus study of problems with language development: Terminology. J Child Psychol Psychiatry 2017; 58(10):1068-1080
  • Barre N, Morgan A, Doyle LW, Anderson PJ. Language abilities in children who were very preterm and/or very low birth weight: a meta-analysis. J Pediatr 2011; 158(5):766-774. e1
  • Moya C, Henrich J. Culture-gene coevolutionary psychology: Cultural learning, language, and ethnic psychology. Curr Opin Psychol 2016; 8:112-118
  • Boyle J. Speech and language delays in preschool children. BMJ 2011; 343: d5181
  • Zubrick SR, Taylor CL, Rice ML, Slegers DW. Late language emergence at 24 months: An epidemiological study of prevalence, predictors and covariates. J Speech Lang Hear Res 2007; 50:1562–1592
  • Wren Y, Miller LL, Peters TJ, Emond A, Roulstone S. Prevalence and predictors of persistent speech sound disorder at eight years old: Findings from a population cohort study. J Speech, Lang Hear Res 2016; 59:647–673
  • Huttenlocher J, Haight W, Bryk A, Seltzer M, Lyons T. Early vocabulary growth: Relation to language input and gender. Dev Psychol 1991; 27:236–248
  • Feldman HM, Dale PS, Campbell TF, Colborn DK, Kurs-Lasky M, Rockette HE. Concurrent and predictive validity of parent reports of child language at ages 2 and 3 years. Child Dev 2005; 76:856-868
  • Mehta B, Chawla VK, Parakh M, Parakh P, Bhandari B, Gurjar AS. EEG Abnormalities in Children with Speech and Language Impairment. J Clin Diagn Res 2015; 9(7):CC04-7
  • Deonna T, Perez. Brain ER. Early-onset acquired epileptic aphasia (Landau–Kleffner syndrome, LKS) and regressive autistic disorders with epileptic EEG abnormalities: The continuing debate. Brain Dev 2010; 32: 746–752
  • McVicar KA, Ballaban-Gil K, Rapin I, Moshe´ SL, Shinnar S. Epileptiform EEG abnormalities in children with language regression. Neurology 2005; 65:129–131
  • Aboufaddan HH, Ahmed SM. Risk factors of Delayed Language Development among Preschool Children Attending Assiut University. Med J Cairo Univ 2018; 86:2279-2285
  • Serdaroğlu A, Ozkan S, Aydin K, Gücüyener K, Tezcan S, Aycan S. Prevalence of epilepsy in Turkish children between the ages of 0 and 16 years. J Child Neurol 2004; 19(4):271-274
  • Schlieper A, Kisilevsky H, Mattingly S, Yorke L. Mild conductive hearing loss and language development: a one-year follow-up study. J Dev Behav Pediatr 1985; 6:65-68
  • Allen DV, Robinson DO. Middle ear status and language development in preschool children. ASHA 1984; 26:33–37
  • Kobayashi M, Yoshida T, Sugimoto S, Teranishi M, Hara D, Kimata Y, et al. Cochlear implantation in patient with Charcot-Marie-Tooth disease. Auris Nasus Larynx 2021; 48(2):327-330
  • Lynch DR, Schadt K, Kichula E, McCormack S, Lin KY. Friedreich Ataxia: Multidisciplinary Clinical Care. J Multidiscip Healthc 2021; 28; 14:1645-1658
  • Canda E, Kalkan Uçar S, Çoker M. Biotinidase Deficiency: Prevalence, Impact and Management Strategies. Pediatric Health Med Ther 2020; 4; 11:127-133
  • Vanderschueren-Lodeweyckx M, Debruyne F, Dooms L, Eggermont E, Eeckels R. Sensorineural hearing loss in sporadic congenital hypothyroidism. Arch Dis Child 1983; 58(6):419-422
  • Wolf B. Clinical issues and frequent questions about biotinidase deficiency. Mol Genet Metab 2010; 100(1):6-13
  • Strovel ET, Cowan TM, Scott AI, Wolf B. Laboratory diagnosis of biotinidase deficiency, 2017 update: a technical standard and guideline of the American College of Medical Genetics and Genomics. Genet Med 2017; 19(10)
  • Baykal T, Hüner G, Sarbat G, Demirkol M. Incidence of biotinidase deficiency in Turkish newborns. Acta Paediatr 1998; 87(10):1102-1103
  • Hertrich I, Dietrich S, Ackermann H. The role of the supplementary motor area for speech and language processing. Neurosci Biobehav Rev 2016; 68:602-610
  • Janssen N, Mendieta CCR. The Dynamics of Speech Motor Control Revealed with Time-Resolved fMRI. Cereb Cortex 2020; 10;30(1):241-255
  • Braden RO, Boyce JO, Stutterd CA, Pope K, Goel H, Leventer RJ, et al. Speech, Language, and Oromotor Skills in Patients with Polymicrogyria. Neurology 2021; 6;96(14): e1898-e1912
  • Sen E, Levison SW. Astrocytes and developmental white matter disorders. Ment Retard Dev Disabil Res Rev 2006; 12(2):97-104
  • Bohnen NI, Haugen J, Kluin K, Kotagal V. Motor Speech Apraxia in a 70-Year-Old Man with Left Dorsolateral Frontal Arachnoid Cyst: A [18F] FDG PET-CT Study. Case Rep Neurol Med 2016; 2016:8941035
  • Kwiatkowska K, Dębicka M, Maryniak A, Kwiatkowski S. Cognitive Impairment in Children with Arachnoid Cyst of Sylvian Fissure: Does it Justify the Neurosurgical Treatment? J Neurol Surg a Cent Eur Neurosurg 2020; 81(4):362-367

Neurological Evaluation of Children Followed Up For Speech Retardation

Yıl 2023, Cilt: 33 Sayı: 1, 61 - 66, 28.02.2023
https://doi.org/10.54005/geneltip.1211492

Öz

Abstract
Aims: The aim of this study was to assess the neurological aspects of patients who presented to the pediatric neurology outpatient clinic with the complaint of speech retardation.
Methods: A retrospective analysis was performed on the data of the patients who underwent treatment for speech retardation between February-October 2022 at the pediatric neurology outpatient clinic of Dr. Ali Kemal Belviranlı Obstetrics and Pediatrics Hospital and Konya City Hospital.
Results: The study included 149 patients with a mean age of 41.1+16.2 months, 74.5% of the patients were male. It was revealed that 8.7% of the children had a history of prematurity, 16.1% had a family member with speech retardation. In electroencephalography, epileptic disorders were found in 2.6% of the patients, psychiatric disorders (8.7% autism) in 16.7%, hearing loss in 0.7%, developmental retardation in the isolated language area in 75.8%, and global development retardation in 24.2%. Brain magnetic resonance imaging showed an abnormality of 3.3%. Furthermore, 52.3% of our patients were found to be deficient in stimuli, while 59.7% used intensive media.
Conclusions: In terms of early diagnosis and treatment of speech retardation and accompanying pathologies, the diagnostic approach in children brought in due to speech retardation is critical.

Proje Numarası

YOK

Kaynakça

  • İnce H, Say GN, Başaran A, Akoğlu SÇ, Bekaroğlu A, Taşdemir HA. Konuşma Geriliğindeki Etiyolojik Nedenlerin Çocuk Nörolojisi Perspektifinden İncelenmesi. Turkish J Pediatr Dis 2022; 16: 264-269
  • Shriberg LD. Four new speech and Prosody-Voice measures for genetics research and other studies in developmental phonological disorders. J Speech Hear Res 1993; 36:105–140
  • Shriberg LD, Austin D, Lewis BA, McSweeny JL, Wilson DL. The speech disorders classification system (SDCS): Extensions and lifespan reference data. J Speech, Lang Hear Res 1997; 40:723–740
  • Weismer G, Brown DK. Language science. Introduction to communication Sciences and Disorders: The Scientific Basis of clinical practice. 1st ed. San Diego, cA: plural publishing; 2019. p.36-44
  • Kirschner S, Tomasello M. Joint music making promotes prosocial behavior in 4-year old children. Evol Hum Behav 2010; 31(5):354-364
  • Raitano NA, Pennington BF, Tunick RA, Boada R, Shriberg LD. Pre-literacy skills of subgroups of children with speech sound disorders. J Child Psychol Psychiatry 2004; 45(4):821-835
  • Dosman CF, Andrews D, Goulden KJ. Evidence-based milestone ages as a framework for developmental surveillance. Paediatr Child Health 2012; 17(10):561-568
  • Paul D, Roth FP. Guiding principles and clinical applications for speech language pathology practice in early intervention. Lang Speech Hear Serv Sch 2011; 42(3):320-330
  • Yalaz K, Anlar B, Bayoglu B. Denver II Gelişimsel Tarama Testi Türkiye Standardizasyonu. Gelişimsel Çocuk Nörolojisi Derneği. 1. Baskı. Ankara: Anıl Grup matbaacılık; 2010
  • Roulstone S, Peters TJ, Glogowska M, Enderby P. A 12-month follow-up of preschool children investigating the natural history of speech and language delay. Child Care Health Dev 2003; 29(4):245-255
  • McQuiston S, Kloczko N. Speech and language development: monitoring process and problems. Pediatr Rev 2011; 32(6):230-238; quiz 239
  • Morgan A, Ttofari Eecen K, Pezic A, Brommeyer K, Mei C, Eadie P, et al. Who to Refer for Speech Therapy at 4 Years of Age Versus Who to “Watch and Wait”? J Pediatr 2017; 185:200-204. e1
  • Sunderajan T, Kanhere S. Speech and language delay in children: Prevalence and risk factors. J Fam Med Prim Care 2019; 8:1642-1646
  • Kabukçu Başay B, Tezer D. 3 yaş öncesi konuşma gecikmesi nedeniyle çocuk psikiyatri polikliniklerine başvuran çocuklara ne oldu? 2 yıl sonrasına ait veriler. Pamukkale Med J 2020; 13:373–384
  • King TM, Rosenberg LA, Fuddy L, McFarlane E, Sia C, Duggan AK. Prevalence and early identification of language delays among at-risk three year olds. J Dev Behav Pediatr 2005; 26(4):293-303
  • Coplan J. Evaluation of the child with delayed speech or language. Pediatr Ann 1985; 14(3):203-208
  • Yücel Şen AD, Çarman KB. Normal nörolojik gelişim ve takip testleri. Çarman KB, editör. Gelişimsel Nöroloji. 1. Baskı. Ankara: Türkiye Klinikleri 2022. p.20-24
  • Bishop Dvm, Snowling MJ, Thompson PA, Greenhalgh T; and the cATALISE-2 consortium. phase 2 of cATALISE: a multinational and multidisciplinary Delphi consensus study of problems with language development: Terminology. J Child Psychol Psychiatry 2017; 58(10):1068-1080
  • Barre N, Morgan A, Doyle LW, Anderson PJ. Language abilities in children who were very preterm and/or very low birth weight: a meta-analysis. J Pediatr 2011; 158(5):766-774. e1
  • Moya C, Henrich J. Culture-gene coevolutionary psychology: Cultural learning, language, and ethnic psychology. Curr Opin Psychol 2016; 8:112-118
  • Boyle J. Speech and language delays in preschool children. BMJ 2011; 343: d5181
  • Zubrick SR, Taylor CL, Rice ML, Slegers DW. Late language emergence at 24 months: An epidemiological study of prevalence, predictors and covariates. J Speech Lang Hear Res 2007; 50:1562–1592
  • Wren Y, Miller LL, Peters TJ, Emond A, Roulstone S. Prevalence and predictors of persistent speech sound disorder at eight years old: Findings from a population cohort study. J Speech, Lang Hear Res 2016; 59:647–673
  • Huttenlocher J, Haight W, Bryk A, Seltzer M, Lyons T. Early vocabulary growth: Relation to language input and gender. Dev Psychol 1991; 27:236–248
  • Feldman HM, Dale PS, Campbell TF, Colborn DK, Kurs-Lasky M, Rockette HE. Concurrent and predictive validity of parent reports of child language at ages 2 and 3 years. Child Dev 2005; 76:856-868
  • Mehta B, Chawla VK, Parakh M, Parakh P, Bhandari B, Gurjar AS. EEG Abnormalities in Children with Speech and Language Impairment. J Clin Diagn Res 2015; 9(7):CC04-7
  • Deonna T, Perez. Brain ER. Early-onset acquired epileptic aphasia (Landau–Kleffner syndrome, LKS) and regressive autistic disorders with epileptic EEG abnormalities: The continuing debate. Brain Dev 2010; 32: 746–752
  • McVicar KA, Ballaban-Gil K, Rapin I, Moshe´ SL, Shinnar S. Epileptiform EEG abnormalities in children with language regression. Neurology 2005; 65:129–131
  • Aboufaddan HH, Ahmed SM. Risk factors of Delayed Language Development among Preschool Children Attending Assiut University. Med J Cairo Univ 2018; 86:2279-2285
  • Serdaroğlu A, Ozkan S, Aydin K, Gücüyener K, Tezcan S, Aycan S. Prevalence of epilepsy in Turkish children between the ages of 0 and 16 years. J Child Neurol 2004; 19(4):271-274
  • Schlieper A, Kisilevsky H, Mattingly S, Yorke L. Mild conductive hearing loss and language development: a one-year follow-up study. J Dev Behav Pediatr 1985; 6:65-68
  • Allen DV, Robinson DO. Middle ear status and language development in preschool children. ASHA 1984; 26:33–37
  • Kobayashi M, Yoshida T, Sugimoto S, Teranishi M, Hara D, Kimata Y, et al. Cochlear implantation in patient with Charcot-Marie-Tooth disease. Auris Nasus Larynx 2021; 48(2):327-330
  • Lynch DR, Schadt K, Kichula E, McCormack S, Lin KY. Friedreich Ataxia: Multidisciplinary Clinical Care. J Multidiscip Healthc 2021; 28; 14:1645-1658
  • Canda E, Kalkan Uçar S, Çoker M. Biotinidase Deficiency: Prevalence, Impact and Management Strategies. Pediatric Health Med Ther 2020; 4; 11:127-133
  • Vanderschueren-Lodeweyckx M, Debruyne F, Dooms L, Eggermont E, Eeckels R. Sensorineural hearing loss in sporadic congenital hypothyroidism. Arch Dis Child 1983; 58(6):419-422
  • Wolf B. Clinical issues and frequent questions about biotinidase deficiency. Mol Genet Metab 2010; 100(1):6-13
  • Strovel ET, Cowan TM, Scott AI, Wolf B. Laboratory diagnosis of biotinidase deficiency, 2017 update: a technical standard and guideline of the American College of Medical Genetics and Genomics. Genet Med 2017; 19(10)
  • Baykal T, Hüner G, Sarbat G, Demirkol M. Incidence of biotinidase deficiency in Turkish newborns. Acta Paediatr 1998; 87(10):1102-1103
  • Hertrich I, Dietrich S, Ackermann H. The role of the supplementary motor area for speech and language processing. Neurosci Biobehav Rev 2016; 68:602-610
  • Janssen N, Mendieta CCR. The Dynamics of Speech Motor Control Revealed with Time-Resolved fMRI. Cereb Cortex 2020; 10;30(1):241-255
  • Braden RO, Boyce JO, Stutterd CA, Pope K, Goel H, Leventer RJ, et al. Speech, Language, and Oromotor Skills in Patients with Polymicrogyria. Neurology 2021; 6;96(14): e1898-e1912
  • Sen E, Levison SW. Astrocytes and developmental white matter disorders. Ment Retard Dev Disabil Res Rev 2006; 12(2):97-104
  • Bohnen NI, Haugen J, Kluin K, Kotagal V. Motor Speech Apraxia in a 70-Year-Old Man with Left Dorsolateral Frontal Arachnoid Cyst: A [18F] FDG PET-CT Study. Case Rep Neurol Med 2016; 2016:8941035
  • Kwiatkowska K, Dębicka M, Maryniak A, Kwiatkowski S. Cognitive Impairment in Children with Arachnoid Cyst of Sylvian Fissure: Does it Justify the Neurosurgical Treatment? J Neurol Surg a Cent Eur Neurosurg 2020; 81(4):362-367
Toplam 45 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Original Article
Yazarlar

Fatih Mehmet Akif Özdemir 0000-0003-4820-1234

Halil Celik 0000-0002-2022-2909

Proje Numarası YOK
Yayımlanma Tarihi 28 Şubat 2023
Gönderilme Tarihi 29 Kasım 2022
Yayımlandığı Sayı Yıl 2023 Cilt: 33 Sayı: 1

Kaynak Göster

Vancouver Özdemir FMA, Celik H. Neurological Evaluation of Children Followed Up For Speech Retardation. Genel Tıp Derg. 2023;33(1):61-6.