[auditory Processing In Children With Cerebrovascular Disease].

cerebrovascular disease (CVD) during childhood is a rare condition; its short, medium and long-term characteristics deserve further investigation. The application of behavioral techniques may improve clinical characterization, thus rendering more efficient therapeutic planning and control. to describe the audiological manifestations in a child with CVD in two distinct moments of clinical follow-up. the child, with a confirmed diagnosis of a single and unilateral episode of CVD, presenting satisfactory cognition and language skills, was submitted to a battery of conventional and auditory processing tests, which included a simplified evaluation as well as monotic, dichotic, and temporal processing tests. The obtained data was paired with those of a normal right-handed child, of the same gender, age and socio-cultural level. results indicate impairments in auditory memory as well as in selective attention during binaural separation and integration tasks for verbal and non-verbal stimuli. clinical development, although favorable, was below the average expected for the same age when compared to the control. The prospective evaluation of a child with DCV permitted the characterization of the auditory behavior, the definition of its parameters as well as the development of the audiological characteristics.19393-40

Auditory processing in children with cerebrovascular disease

BACKGROUND: cerebrovascular disease (CVD) during childhood is a rare condition; its short, medium and long-term characteristics deserve further investigation. The application of behavioral techniques may improve clinical characterization, thus rendering more efficient therapeutic planning and control. AIM: to describe the audiological manifestations in a child with CVD in two distinct moments of clinical follow-up. METHOD: the child, with a confirmed diagnosis of a single and unilateral episode of CVD, presenting satisfactory cognition and language skills, was submitted to a battery of conventional and auditory processing tests, which included a simplified evaluation as well as monotic, dichotic, and temporal processing tests. The obtained data was paired with those of a normal right-handed child, of the same gender, age and socio-cultural level. RESULTS: results indicate impairments in auditory memory as well as in selective attention during binaural separation and integration tasks for verbal and non-verbal stimuli. CONCLUSION: clinical development, although favorable, was below the average expected for the same age when compared to the control. The prospective evaluation of a child with DCV permitted the characterization of the auditory behavior, the definition of its parameters as well as the development of the audiological characteristics.TEMA: na infância a doença cerebrovascular (DCV) constitui condição rara em que a evolução a curto, médio e longo prazo tem merecido esclarecimentos. Neste sentido, a aplicação de técnicas comportamentais pode possibilitar melhor caracterização clínica, visando o planejamento e controle terapêutico eficientes. OBJETIVO: descrever em uma criança com DCV as manifestações audiológicas em dois momentos distintos da evolução clínica. MÉTODO: a criança, com diagnóstico comprovado de episódio único e unilateral de DCV, apresentando habilidades de linguagem e cognição satisfatórias, foi submetida a conjunto de testes convencionais e de processamento auditivo, incluindo a avaliação simplificada e as categorias de testes monóticos, dicóticos e de processamento temporal. Os dados obtidos foram pareados com criança normal destra, de mesmo sexo, idade e nível sócio-cultural. RESULTADOS: foi constatado comprometimento nas habilidades de memória auditiva e atenção seletiva em tarefas de integração e separação binaural para estímulos verbais e não-verbais. CONCLUSÃO: a evolução, embora favorável, se mostrou abaixo do esperado para a idade, quando comparado com seu par. A avaliação prospectiva da criança acometida por DCV possibilitou caracterizar o comportamento auditivo, definir seus parâmetros e a evolução do quadro audiológico.39340