A Clinico-Epidemiologic Study of Neurologic Associations and Factors Related to Speech and Language Delay

Authors

  • Manish Parakh Dr. S.N. Medical College, Jodhpur
  • Poonam Parakh Dr. S.N. Medical College, Jodhpur
  • Suman Bhansali Dr. S.N. Medical College, Jodhpur
  • Anoop Singh Gurjar Dr. S.N. Medical College, Jodhpur
  • Priyanka Parakh Dr. S.N. Medical College, Jodhpur
  • Gagan Mathur Dr. S.N. Medical College, Jodhpur
  • Mathur Gagan Dr. S.N. Medical College, Jodhpur

Keywords:

Speech and Language Delay, Neurologic Associations, ADHD, Autism, GDD, Epilepsy

Abstract

Objectives: SLD is a significant neurodevelopmental complication and association of several neurologic disorders. The current study evaluates the neurologic associations and factors related to SLD.

Methods: A one year retrospective study was done at Tertiary Care Center in India. Medical records of patients examined at Pediatric Neurology Clinic for SLD, between December 2009 and December 2010 were studied and the collected data was analyzed.

Results: The prevalence of SLD was 16.27% and the Male : Female ratio was 2.76:1 in this study. GDD, Seizure disorder and ADHD were major comorbid conditions. Significant associations seen were; PIH, IUGR, Oligohyraminos, Perinatal- Neonatal resuscitation, LBW, LSCS, neonatal Icterus and seizures. There was a positive family history of SLD in 23.85% patients. EEG was epileptiform in 45.87% patients and features suggestive of Perinatal ABI due to varied etiology was the major neuroradiologic finding followed by congenital structural abnormalities. No specific diagnosis was possible in 33.94% patients, but 17.43% had Primary Epilepsy syndrome and 17.43% had a suspected Neurogenetic etiology.

Conclusion: Exact etiological diagnosis of SLD is challenging & not possible on many occasions. Most important associations include seizure disorder, ADHD, autism, neonatal resuscitation and Epileptiform EEG with or without clinical seizure activity. Most of these patients have either an epilepsy syndrome or suspected Neurometabolic or Neurogenetic etiology.

References

Luthra S and Dharamvir. Language Regression in Indoor Cases; Global Journal of Medical Research;Vol.10 Issue 3 (Ver 1.0) December 2010:12-17

Burden V, Stott CM, Forge J, Goodyer I. The Cambridge Language and Speech Project (CLASP). I .Detection of language difficulties at 36 to 39 months. Dev Med Child Neurol. 1996;38(7):613-631.

Beitchman, J. H., Nair, R., Clegg, M., Patel, P. G., Ferguson, B., Pressman, E. et al. Prevalence of speech and language disorders in 5-year-old kindergarten children in the Ottawa- Carleton region. Journal of Speech and Hearing Disorders, 1986; 5:98–110..

Rescorla, L., Hadicke-Wiley, M. and Escarce, E., 1993, Epidemiological investigation of expressive language delay at age two [Special Issue: Language Development in Special Populations]. First Language, 1993;13:5–22.

Burden, V., Stott, C. M., Forge, J. and Goodyer, I. The Cambridge Language and Speech Project (CLASP). 1: Detection of language diYculties at 36–39 months. Developmental Medicine and Child Neurology, 1996; 38: 613–631.

Stewart, J. M., Hester, E. J. and Taylor, D. L., 1986, Prevalence of language, speech and hearing disorders in an urban preschool black population. Journal of Childhood Communication Disorder.1986; 9: 107–123.

Tomblin, J. B., Records, N., Buckwalter, P., Zhang, X., Smith, E. and O’Brien, M., 1997, Prevalence of specific language impairment in kindergarten children. Journal of Speech Language and Hearing Research, 40, 1245–1260.

Hill, E. L. Non-specific nature of specific language impairment: a review of the literature with regard to concomitant motor impairments. International Journal of Language and Communication Disorders.2001; 36: 149-171.

Beitchman J, Wilson B, Johnson C, et al. Fourteen-year follow-up of speech-language-impaired and control children: psychiatric outcome. J Am Acad Child Adolesc Psychiatry, 2001; 40: 75.

Helland W, Heimann M. Assessment of pragmatic language impairment in children referred to psychiatric services: a pilot study of the Children’s Communication Checklist in a Norwegian sample. Logoped Phoniatr Vocol. 2007; 32: 23-30.

Pruitt S L, Garrity A W; Oetting J B. Family History of Speech and Language Impairment in African American Children: Implications for Assessment; Top Lang Disorders 2010; 30 (2): pp. 1–11.

Preis S, Lancke L, Schittler P, et al: Normal intrasylvian anatomical asymmetry in children with developmental language disorder. Neuropsychologia 1998;36:849-855.

Leonard CM, Lombardino LJ, Walsh K, et al: Anatomical risk factors that distinguish dyslexia from SLI predict reading skill in normal children. J Commun Disord 2002;35:501-531.

Downloads

Published

2012-09-30

How to Cite

1.
Parakh M, Parakh P, Bhansali S, Gurjar AS, Parakh P, Mathur G, Gagan M. A Clinico-Epidemiologic Study of Neurologic Associations and Factors Related to Speech and Language Delay. Natl J Community Med [Internet]. 2012 Sep. 30 [cited 2024 Apr. 22];3(03):518-22. Available from: https://njcmindia.com/index.php/file/article/view/1756

Issue

Section

Original Research Articles