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
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