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Higher cortical dysfunctions in preterm diplegia: how to evaluate and treat for their pedagogical difficulties

. No To Hattatsu, 30 (3): 215--219 (May 1998)

Abstract

Preterm diplegic children (SD) frequently suffer pedagogical difficulties. They showed visual perceptual impairments and also constructional dyspraxia, neuropsychologically. Multiple regression analysis proved that the constructional dyspraxia was independent from the impairments of visual acuity, stereoacuity, depth perception and visual perception. EEG coherence analysis in SD patients disclosed lower interhemispheric coherence at alpha band frequency in occipital derivations. The lower coherence value may correspond to thinning of posterior body and splenium of corpus callosum in SD patients. A adequate ophthalmological treatments, books with enough space between the lines and three dimensional models to facilitate the image of stereography are recommended.

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