Learning and Memory Recoveries in a Young Girl Treated with Growth Hormone and Neurorehabilitation

被引:21
作者
Devesa, Jesus [1 ,2 ]
Lema, Hortensia [1 ]
Zas, Eva [1 ]
Munin, Borja [1 ]
Taboada, Pilar [1 ]
Devesa, Pablo [1 ]
机构
[1] Med Ctr Foltra, Travesia de Montouto 24, Teo 15886, Spain
[2] Univ Santiago de Compostela, Sch Med, Dept Physiol, Santiago De Compostela 15710, Spain
关键词
growth hormone; neurorehabilitation; brain plasticity; cognitive functions; memory; natal asphyxia; CELL-PROLIFERATION; CEREBRAL-PALSY; GH REPLACEMENT; BRAIN-INJURY; CHILDREN; HYPOXIA; REHABILITATION; HIPPOCAMPUS; DEFICIENCY; DISORDERS;
D O I
10.3390/jcm5020014
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background-To describe the results obtained after treating a non growth hormone-deficient 10-year-old girl who suffered asphyxia during delivery, resulting in important cognitive deficits, with growth hormone (GH) and neurorehabilitation. Methods-GH was administered (mg/day) at doses of 0.5 over three months followed by 0.9, every two weeks over three months, and then alternating 1.2 three days/week and 0.3 two days/week. Neurorehabilitation consisted of daily sessions of neurostimulation, speech therapy, occupational therapy and auditive stimulation. Treatment lasted nine months. Results-Scores obtained in all the areas treated showed that, at discharge, the patient clearly increased her cognitive abilities, memory and language competence index; her intelligence quotient score increased from 51 to 80, and the index of functional independence measure reached a value of 120 over 126 (maximal value). Conclusions-This case suggests that GH administration may play a role in improving cognitive deficits during neurorehabilitation in children with brain damage suffered during delivery. This agrees with the known effects of GH on cognition.
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页数:9
相关论文
共 45 条
[31]   Growth hormone promotes proliferation of adult neurosphere cultures [J].
McLenachan, S. ;
Lum, M. -G. ;
Waters, M. J. ;
Turnley, A. M. .
GROWTH HORMONE & IGF RESEARCH, 2009, 19 (03) :212-218
[32]   Pathophysiology of perinatal asphyxia: Can we predict and improve individual outcomes? [J].
Morales P. ;
Bustamante D. ;
Espina-Marchant P. ;
Neira-Peña T. ;
Gutiérrez-Hernández M.A. ;
Allende-Castro C. ;
Rojas-Mancilla E. .
EPMA Journal, 2011, 2 (2) :211-230
[33]   Growth hormone and cognitive function [J].
Nyberg, Fred ;
Hallberg, Mathias .
NATURE REVIEWS ENDOCRINOLOGY, 2013, 9 (06) :357-365
[34]   Resuscitation at birth and cognition at 8 years of age: a cohort study [J].
Odd, David E. ;
Lewis, Glyn ;
Whitelaw, Andrew ;
Gunnell, David .
LANCET, 2009, 373 (9675) :1615-1622
[35]   GROWTH HORMONE AND PROLACTIN REGULATE HUMAN NEURAL STEM CELL REGENERATIVE ACTIVITY [J].
Pathipati, P. ;
Gorba, T. ;
Scheepens, A. ;
Goffin, V. ;
Sun, Y. ;
Fraser, M. .
NEUROSCIENCE, 2011, 190 :409-427
[36]   Effects of growth hormone (GH) replacement and cognitive rehabilitation in patients with cognitive disorders after traumatic brain injury [J].
Reimunde, P. ;
Quintana, A. ;
Castanon, B. ;
Casteleiro, N. ;
Vilarnovo, Z. ;
Otero, A. ;
Devesa, A. ;
Otero-Cepeda, X. L. ;
Devesa, J. .
BRAIN INJURY, 2011, 25 (01) :65-73
[37]   Effects of recombinant growth hormone replacement and physical rehabilitation in recovery of gross motor function in children with cerebral palsy [J].
Reimunde, Pedro ;
Rodicio, Cristina ;
Lopez, Natalia ;
Alonso, Alba ;
Devesa, Pablo ;
Devesa, Jesus .
THERAPEUTICS AND CLINICAL RISK MANAGEMENT, 2010, 6 :585-592
[38]   Signaling mechanisms mediating local GH action in the neural retina of the chick embryo [J].
Sanders, Esmond J. ;
Baudet, Marie-Laure ;
Parker, Eve ;
Harvey, Steve .
GENERAL AND COMPARATIVE ENDOCRINOLOGY, 2009, 163 (1-2) :63-69
[39]   Reversal of opiate-induced apoptosis by human recombinant growth hormone in murine foetus primary hippocampal neuronal cell cultures [J].
Svensson, Anne-Lie ;
Bucht, Nora ;
Hallberg, Mathias ;
Nyberg, Fred .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 2008, 105 (20) :7304-7308
[40]  
Tomatis A, 2010, FONIATRIA