COVID-19 atypical Parsonage-Turner syndrome: a case report

Background Neurological manifestations of Sars-CoV-2 infection have been described since March 2020 and include both central and peripheral nervous system manifestations. Neurological symptoms, such as headache or persistent loss of smell and taste, have also been documented in COVID-19 long-haulers. Moreover, long lasting fatigue, mild cognitive impairment and sleep disorders appear to be frequent long term neurological manifestations after hospitalization due to COVID-19. Less is known in relation to peripheral nerve injury related to Sars-CoV-2 infection. Case presentation We report the case of a 47-year-old female presenting with a unilateral chest pain radiating to the left arm lasting for more than two months after recovery from Sars-CoV-2 infection. After referral to our post-acute outpatient service for COVID-19 long haulers, she was diagnosed with a unilateral, atypical, pure sensory brachial plexus neuritis potentially related to COVID-19, which occurred during the acute phase of a mild Sars-CoV-2 infection and persisted for months after resolution of the infection. Conclusions We presented a case of atypical Parsonage-Turner syndrome potentially triggered by Sars-CoV-2 infection, with symptoms and repercussion lasting after viral clearance. A direct involvement of the virus remains uncertain, and the physiopathology is unclear. The treatment of COVID-19 and its long-term consequences represents a relatively new challenge for clinicians and health care providers. A multidisciplinary approach to following-up COVID-19 survivors is strongly advised

The role of phonological working memory and environmental factors in lexical development in italian-speaking late talkers: A one-year follow-up study

Purpose: This follow-up study assessed (a) the influence of phonological working memory (pWM), home literacy environment, and a family history of linguistic impairments in late talkers (LTs); (b) the diagnostic accuracy of a task of nonword repetition (NWR) in identifying LTs; and (c) the persistence of lexical weaknesses after 10 months. Method: Two hundred ninety-three children were assessed at approximately 32 (t1) and 41 (t2) months. At t1, they were administered the Italian adaptation of the Language Development Survey, an NWR task (used to assess pWM), and questionnaires assessing home literacy environment and family history of language impairments. Thirty-three LTs were identified. The linguistic skills of the participants were evaluated at t2 by administering tasks assessing Articulation, Naming, Semantic Fluency, and Lexical Comprehension. Results: At t2, LTs performed more poorly as compared with age-matched typically developing peers in articulatory and naming skills, had reduced lexical comprehension abilities, and had limited lexical knowledge. Their performance on the NWR task at t1 correlated with the extension of their vocabularies at t2 (as estimated with a Semantic Fluency task). Conclusions: The Language Development Survey recently adapted to Italian is sensitive to LTs. Former LTs still have a mild lexical delay at approximately 40 months. As an indirect measure of pWM, the task of NWR is an early indicator of future lexical deficits

La valutazione dello sviluppo lessicale attraverso la scala Language Development Survey in un campione di bambini tra i 18 e i 36 mesi

Il presente studio ha valutato lo sviluppo lessicale di 518 bambini monolingui e 105 bambini figli di migranti, di età compresa tra i 18 e i 35 mesi, attraverso la scala Language Development Survey (LDS), e l’associazione tra sviluppo lessicale e problemi emotivo-comportamentali, tramite la Child Behavior Checklist 1 ½-5 (CBCL/ 1 ½-5), in un campione più piccolo di 96 partecipanti. Sono emerse differenze legate al genere, all’età e alla condizione di bilinguismo, ma non in base al livello socio-economico. Vengono, inoltre, presentati i valori normativi per il campione italiano. E’ emersa, infine, solo una correlazione negativa significativa tra ampiezza del vocabolario e problemi attentivi e di iperattività. In sintesi, i risultati di questo studio sono globalmente in linea con la letteratura e consentono l’impiego della versione italiana della scala LDS per identificare precocemente i bambini che presentano un ritardo dello sviluppo lessicale.The present study has investigated lexical development in 518 monolingual and 105 bilingual children, aged 18-35 months, through the Language Development Survey (LDS), and the association between lexical development and emotional-behavioral problems, through the Child Behavior Checklist 1 ½-5 (CBCL/ 1½-5), in a smaller sample of 96 participants. Differences related to gender, age and bilingualism, but not to socioeconomic status, were found. Normative data related to the Italian sample are also presented. Last, only a significant negative correlation between vocabulary size and attention-hyperactivity problems emerged. To sum up, the results of this study are generally in line with the literature and allow to use the Italian LDS version in order to promptly identify children who show a delay in lexical development

La valutazione del linguaggio tramite il questionario Language Development Survey (LDS)

Il presente contributo intende illustrare la versione italiana del Language Development Survey (LDS), un questionario statunitense utilizzato per valutare lo sviluppo lessicale dei bambini di età compresa tra i 18 e i 35 mesi attraverso il resoconto dei genitori. Il questionario LDS permette di valutare l’ampiezza del vocabolario e la lunghezza media dell’enunciato, consentendo così di identificare coloro che manifestano un ritardo dello sviluppo linguistico. Vengono riassunti i risultati degli studi che hanno esaminato attraverso l’impiego del LDS: a) l’influenza del genere e dell’età sullo sviluppo lessicale, b) l’associazione tra competenze linguistiche, competenze sociali e problemi emotivocomportamentali in campioni di bambini provenienti da diverse regioni italiane, c) lo sviluppo lessicale nei bambini monolingui e bilingui che imparano l’italiano e la prevalenza di “late talkers” nei due campioni. Vengono inoltre riportati i riferimenti per reperire le norme italiane del LDS

Weak surround suppression of the attentional focus characterizes visual selection in the ventral stream in autism

Neurophysiological findings in the typical population demonstrate that spatial scrutiny for visual selection determines a center-surround profile of the attentional focus, which is the result of recurrent processing in the visual system. Individuals with autism spectrum disorder (ASD) manifest several anomalies in their visual selection, with strengths in detail-oriented tasks, but also difficulties in distractor inhibition tasks. Here, we asked whether contradictory aspects of perception in ASD might be due to a different center-surround profile of their attentional focus. In two experiments, we tested two independent samples of children with ASD, comparing them with typically developing (TD) peers. In Experiment 1, we used a psychophysical task that mapped the entire spatial profile of the attentional focus. In Experiment 2, we used dense-array electroencephalography (EEG) to explore its neurophysiological underpinnings. Experiment 1 results showed that the suppression, surrounding the attentional focus, was markedly reduced in children with ASD. Experiment 2 showed that the center-surround profile in TD children resulted in a modulation of the posterior N2 ERP component, with cortical sources in the lateral-occipital and medial/inferior temporal areas. In contrast, children with ASD did not show modulation of the N2 and related activations in the ventral visual stream. Furthermore, behavioural and neurophysiological measures of weaker suppression predicted more severe autistic symptomatology. The present findings, showing an altered center-surround profile during attentional selection, give an important insight to understand superior visual processing in autism as well as the experiencing of sensory overload. Keywords: EEG, Source analysis, Ventral visual stream, Perception, Rehabilitatio

Autism spectrum disorder prevalence in Italy: a nationwide study promoted by the Ministry of Health

Abstract Background This nationwide study aimed to estimate Autism Spectrum Disorder (ASD) prevalence in 7–9-year-old Italian children. Promoted by Italy's Ministry of Health and coordinated by the National Observatory for Autism at the National Institute of Health, it covered schools in northern (Lecco and Monza-Brianza), central (Rome and its province), and southern (Palermo and its province) regions from February 24, 2016, to February 23, 2018, using a multi-stage approach defined by the European Union's ASD network. Methods Phase one identified ASD-diagnosed children in mainstream schools through local Ministry of Education (MoE) disability registries. Phase two had a subset of schools screen 7–9-year-olds using the Social Communication Questionnaire-Life version (SCQ-L). Those with SCQ-L scores of 15 + underwent clinical consultation for ASD symptoms, cognitive abilities, and life skills. To counter potential false negatives, 20% scoring 11–14 were randomly assessed via Autism Diagnostic Interview-Revised (ADI-R). Results MoE data revealed 9.8 per 1000 certified ASD children in the north, 12.2 in the central, and 10.3 in the south. In phase two, 35,823 SCQ-L questionnaires were distributed across 198 schools (northern: 11,190 in 49 schools, central: 13,628 in 87 schools, southern: 11,005 in 62 schools). Of SCQ-L respondents, 2.4% (n = 390) scored above the 15 cutoff. Among these, 100 had ASD diagnoses, and 50 had other diagnoses. Among 115 families assessed, 16.5% (n = 19) received ASD diagnoses. Conclusions The estimated prevalence of ASD in Italy was 13.4 (11.3–16.0) per 1,000 children aged 7–9 years, with a male-to-female ratio of 4.4:1. It will guide national policies in enhancing services tailored to the specific needs of autistic children

Psychological Distress After Covid-19 Recovery: Reciprocal Effects With Temperament and Emotional Dysregulation. An Exploratory Study of Patients Over 60 Years of Age Assessed in a Post-acute Care Service

To study the long-term psychological effects of Covid-19 disease, we recruited 61 patients older than 60 years of age and administered the Kessler questionnaire K10 to assess psychological distress and classify them according to mental health risk groups. Patients' affective temperaments were assessed with the 39-item form of the Temperament Evaluation of Memphis, Pisa, Paris, and San Diego (TEMPS-A-39) and emotional dysregulation with the Difficulties in Emotion Regulation Scale (DERS). Patients were divided in two samples according to their scores on the K10, i.e., a high likelihood of psychological distress group (N = 18) and a low likelihood of psychological distress group (N = 43). The two groups differed on their gender composition, in that more women (N = 11) were in the former and more men in the latter (N = 29) (χ2 = 4.28; p = 0.039). The high likelihood of psychological distress group scored higher on the Cyclothymic (3.39 ± 3.45 vs. 0.93 ± 1.08, p < 0.001) and the Depressive (2.28 ± 2.82 vs. 0.65 ± 1.09, p = 0.01) affective temperaments of the TEMPS and on the lack of Impulse control (12.67 ± 4.04 vs. 9.63 ± 3.14, p = 0.003) and lack of Clarity (15.00 ± 5.56 vs. 9.85 ± 4.67, p = 0.004) scales of the DERS. Our results show that having had Covid-19 may be related with high likelihood for psychological distress in advanced-age people and this may in turn be associated with impaired emotional regulation and higher scores on depressive and cyclothymic temperaments