Aspectos neuropsicológicos em el Síndrome Treacher Collins: relato de um caso
Aspectos neuropsicológicos em crianças com STC
Resumo
En este estudio se discuten los datos obtenidos de la evaluación neuropsicológica de un niño de siete años con el síndrome de Treacher Collins (STC). Un trastorno autosómico con una incidencia de 1:50.000 nacimientos, caracterizado por malformaciones craneofaciales. El objetivo fue identificar, a partir de un estudio de caso único, las características cognitivas de un paciente con STC. El rendimiento intelectual (Gf - inteligencia fluida), los procesos cognitivos básicos (procesamiento visual y coordinación visuomotora), los procesos cognitivos superiores (lenguaje, atención, memoria y funciones ejecutivas) y el comportamiento del niño se evaluaron mediante pruebas formales, entrevista y observación clínica. Los resultados sugieren una capacidad intelectual general preservada, aunque asociada a déficit en el desarrollo motor y la función visual, con una disminución de la velocidad de procesamiento y del funcionamiento ejecutivo, como la planificación y el control atencional. Dada la rareza de este síndrome, consideramos que estos hallazgos pueden favorecer la identificación temprana de las características cognitivas del STC para perfilar una intervención adecuada y así optimizar el resultado de las intervenciones en el desarrollo neuropsicológico de los pacientes afectados, considerando sus particularidades cognitivas y relacionando los contenidos académicos y la conducta con la demanda de vida. Todavía, se subraya la importancia de la comparación de este estudio con otros pacientes con el citado síndrome para confirmar la generalidad de las alteraciones observadas.
Referências
Ambarkova, V. (2017). Treacher Collins Syndrome. Int. Biol. Biomed. J., 3(4), 157-165. http://ibbj.org/browse.php?a_id=118&slc_lang=en&sid=1&printcase=1&hbnr=1&hmb=1
Anil, S., Beena, V. T., Ankathil, R., Remani, P., & Vijayakumar, T. (1995). Mandibulofacial dysostosis. Case report. Aust. Dent. J., 40(1), 39-42. https://pubmed.ncbi.nlm.nih.gov/7710415/
Arndt, E. M., Travis, A., Lefebvre., & Munro, R. (1987). Psuchosocial adjustment of 20 patients with Treacher Collins Syndrome before and after reconstructive surgery. British Journal of Plastic Surgery, 40(6), 605-609. https://www.sciencedirect.com/science/article/abs/pii/000712268790155X
Ben-Yishay, Y., & Leonard, D. (2011). Handbook of Holistic Neuropsychological Rehabilitation. Oxford University Press.
Cejas, I., Mitchell, C. M., Hoffman, M., & Quittner, A. (2018). Comparisons of IQ in Children With and Without Cochlear Implants: Longitudinal Findings and Associations With Language. EAR & HEARING, 39(6), 1187-1198. https://pubmed.ncbi.nlm.nih.gov/29624538/
Costa, D. I., Azambuja, L. S., Portuguez, M.W., & Costa, J.C. (2004). Avaliação neuropsicológica da criança. Jornal de Pediatria, 80(4), 111-116. https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572004000300014
Cruz, I., Vicaria, I., Wang, N. Y., Niparko, J., & Quittner, A. L. (2012). Language and behavioral outcomes in children with developmental disabilities Using cochlear implants. Otol Neurotol, 33, 751–760. https://pubmed.ncbi.nlm.nih.gov/22699986/
Dauwerse, J. G., Dixon, J., Seland, S., Ruivenkamp, C. A. L., Van Haeringen, A., Hoefsloot, L. H., & Wieczorek, D. (2011). Mutations in genes encoding subunits of RNA polymerases I and III cause Treacher Collins syndrome. Nature Genetics, 43(1), 20-22. https://www.nature.com/articles/ng.724
De Giacomo, A., Craig, F., D’Elia, A., Giagnotti, F., Matera, E., & Quaranta, N. (2013). Children with cochlear implants: Cognitive skills, adaptive behaviors, social and emotional skills. Int J Pediatr Otorhinolaryngol, 77(12), 1975–1979. https://pubmed.ncbi.nlm.nih.gov/24466572/
Dias, N. M., Trevisan B., & Seabra, A. G. (2012) Teste de Trilhas. In: Seabra, A. G., Dias, N. M. (Ed.). Avaliação neuropsicológica cognitiva: atenção e funções executivas (pp. 79-85). Memnon.
Dubey, A. K., & Gupta, R .K. (2002). Treacher Collins syndrome, A report on two cases. MJAFI. 58(3),67–8. http://doi.org/10.1016/S0377-1237(02)80148-4
FACES: The national craniofacioal association (2020, abril, 24). Treacher Collins Syndrome. https://www.faces-cranio.org/treacher
Geers, A. E., & Sedey, A .L. (2011). Language and verbal reasoning skills in adolescents with 10 or more years of cochlear implant experience. Ear Hear, 32(1 Suppl), 39S-48S. http://doi.org/10.1097/AUD.0b013e3181fa41dc
Glozman, J. (2014). Avaliação neuropsicológica Luriana. Cinapsi.
Grzanka, M., & Piekiełko-Witkowska, A. (2021) The Role of TCOF1 Gene in Health and Disease: Beyond Treacher Collins Syndrome. Int. J. Mol. Sci., 22(5), 2482. http://doi.org/10.3390/ijms22052482
Karmiloff-Smith, A. (1998). Development itself is the key to understanding developmental disorders. Trends in Cognitive Scientes, 2(10), 389-398. http://doi.org/10.1016/s1364-6613(98)01230-3
Karmiloff-Smith, A., & Donnai, D. (2000). Williams Syndrome: From Genotype Through the Cognitive Phenotype. American Journal of Medical Genetics, 97(2), 164-171. http://doi.org/10.1002/1096-8628(200022)97:2<164::aid-ajmg8>3.0.co;2-f
Katsanis, S. H., Jabs, E. W, Adam, M. P., Ardinger, H. H., Pagon, R. A., Wallace, S. E., Bean, L. LH., Gripp, K. W., & Amemiya, A. (2004). Treacher Collins Syndrome. In Adam, M.P., Everman, D.B., Mirzaa, G.M., Pagon, R.A., Wallace, S.E., Bean, L.J.H., Gripp, K.W., and Amemiya, A.(Ed), Gene Reviews, (pp. 1993-2020). University of Washington.
Kothari, P. (2012). Treacher Collins Syndrome- A Case Report . WebmedCentral DENTISTRY, 3(1), WMC002902. https://doi.org/10.9754/journal.wmc.2012.002902
Kruk-Marzalek, B. A., & Wójciki, P. (2021) Identification of three novel TCOF1 mutations in patients with Treacher Collins Syndrome. Human Genome Variation, 8(36), 1-4. https://doi.org/10.1038/s41439-021-00168-4
Laros, J.A., de Jesus, G.R., & Karino, C.A. (2015). Son-R 2½ -7[a] manual: teste não verbal de inteligência validação e normas brasileiras. Hogrefe.
Madhan, R., & Nayar, S.(2006). Prosthetic management of a patient with Treacher Collins syndrome. Indian J Dent Res, 17(2), 78-81. http://www.ijdr.in/article.asp?issn=09709290;year=2006;volume=17;issue=2;spage=78;epage=81;aulast=Madhan
Malloy-Diniz, L., Fuentes, D., Mattos, P., & Abreu, N. (2018). Avaliação Neuropsicológica. 2.ed. Artmed.
Malloy-Diniz, L.F., Bentes, R.C., Figueiredo, P.M., Brandão-Bretas, D., Costa-Abrantes, Parizzi, A.M., Borges-Leite, W., & Salgado, J.V. (2007). Normalización de uma batería de tests para evaluar las habilidades de comprensíon del lenguaje, fluidez verbal y denominación em niños brasileños de 7 a 10 años: resultados preliminares. Revista de neurologia, 44(5), 275-280. https://www.neurologia.com/articulo/2006089
Mesulam, M. (2000). Principles of Behavioral Neurology. 2.ed. University Press.
Miller, D.C. (2007). Essentials of school neuropsychological assessment. John Wiley & Sons, Inc.
Monlleó I.L., & Gil-da-Silva-Lopes, V. L. (2006). Anomalias craniofaciais, descrição e avaliação das características gerais da atenção no Sistema Único de Saúde. Cadernos de Saúde Pública, 22(5), 913–922. https://doi.org/10.1590/S0102-311X2006000500004
Oliveira, M. da Silva. & dos Santos, M. R. (2014). Figuras Complexas de Rey: teste de cópia e de reprodução de memória de figuras geométricas complexas. Casa do Psicólogo.
Quittner, A. L., Cejas, I., Wang, N. Y., Niparko, J. K., & Barker, D. H. (2016). Symbolic play and novel noun learning in deaf and hearing children: Longitudinal effects of access to sound on early precursors of language. PLoS One, 11(5), e0155964. https://pubmed.ncbi.nlm.nih.gov/27228032/
Ricalde, P., & Ahson, I. (2022). Associated Systemic Health Conditions Associated with Treacher Collins Syndrome. In: Yates, D.M., Markiewicz, M.R. (Ed.) Craniofacial Microsomia and Treacher Collins Syndrome. Springer. https://doi.org/10.1007/978-3-030-84733-3_16
Rodrigues, B.G., Silva, J. L. O., Guimarães, P. G., Formiga, C. K. M. R., & Viana, F. V. (2015). Evolução de uma criança com síndrome de Treacher Collins em tratamento fisioterapêutico. Fisioter.Mov, 28(3), 525-533. https://www.scielo.br/scielo.php?pid=S010351502015000300525&script=sci_abstract&tlng=pt
Rosa, H.R., & Alvez, I. C.B. (2000). R-2 teste não verbal de inteligência para crianças. Vetor.
Rueda, F.J.M. (2013). Bateria psicológica para avaliação da atenção (BPA). Vetor.
Sakai, D., & Trainor, P.A. (2009). Treacher Collins syndrome, unmasking the role of Tcof1/treacle. Int J Biochem Cell Biol, 41(6), 1229-32. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3093759/
Sanchez, E., Laplace-Builhé, B., Mau-Them, F.T., Richard, E., Goldenberg, A., Toler, T., Guignard, T., Gatinois, V., Vincent, M., Blanchet, C., Boland, A., Bihoreau, M.T., Deleuze, J.F., Olaso, R., Nephi, W., Lüdecke, H.J., Verheij, J.B.G.M., Moreau-Lenoir, F., Denoyelle, F., … Geneviève, D. (2020) POLR1B and neural crest cell anomalies in Treacher Collins syndrome type 4. Genet. Med, 22(3), 547–556. http://doi.org/10.1038/s41436-019-0669-9
Schaefer, E., Collet, C., Geneviève, D., Vincent, M., Lohmann, D. R., Sanchez, E., & Doray, B. (2014). Autosomal recessive POLR1D mutation with decrease of TCOF1 mRNA is responsible for Treacher Collins syndrome. Genetics in Medicine, 16(9), 720–724. https://www.nature.com/articles/gim201412
Silva, R. S., Flores-Mendoza, C., & Telles, M. (2011). Teste de habilidades e conhecimento pré alfabetização (THCP). Vetor.
Sisto, F. F., Noronha, A. P.P., & Santos, A. A. A. (2006). Teste gestáltico visomotor de Bender. Vetor.
Steed-Jenser, G (2011). Treacher Collins Syndrome: A Case Review. Advances in Neonatal Care, 11(6), 395-6. https://pubmed.ncbi.nlm.nih.gov/22123469/
Teber, O.A., Gillessen-Kaesbach, G., Fischer ,S., Bohringer, S., Albrecht, B., Albert, A., Arslan-Kirchner, M., Haan, E., Hagedorn-Greiwe, M., Hammans, C., Henn, W., Hinkel, G.K., König, R., Kunstmann, E., Kunze, J., Neumann, L.M., Prott, E.C., Rauch, A., Rott, H.D., … Wieczorek, D. (2004). Genotyping in 46 patients with tentative diagnosis of Treacher Collins syndrome revealed unexpected phenotypic variation. European Journal of Human Genetics, 12(11), 879–890. https://pubmed.ncbi.nlm.nih.gov/15340364/
Trainor, P.A., Dixon, J., & Dixon, M.J., (2009). Treacher Collins syndrome, etiology, pathogenesis and prevention. European Journal of Human Genetics, 17(3),275-283. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2986179/
Vincent, M., Collet, C., Verloes, A., Lambert, L., Herlin, C., Blanchet, C., Sanchez, E., Drunat, S., Vigneron, J., Laplanche, J.L., Puechberty, J., Sarda, P., & Geneviève, D. (2014). Large deletion encompassing the TCPF1 and CAMK2A genes are responsible for Treacher Collins syndrome with intelectual disability. European Journal of human Genetics, 22(1), 52-56. http://doi.org/10.1038/ejhg.2013.98
Vincent, M., Genevière, D., Ostertag, A., Marlin, S., Lacombe, D., Martin-Coignard, D., Coubes, C., David, A., Lyonnet, S., Vilain, C., Dieux-Coeslier, A., Manouvrier, S., Isidor, B., Jacquemont, M.L., Julia, S., Layet, V., Naudion, S., Odent, S., Pasquier, L., … Collet, C. (2015). Treacher Collins Syndrme: a clinical and molecular study based on large semple patients. Genetics in Medicine, 18(1), 49-56. https://pubmed.ncbi.nlm.nih.gov/25790162/
Wechsler,D. (2014). Escala Wechsler de inteligência para crianças WISC IV: manual de instruções para aplicação e avaliação. Casa do Psicólogo.
Yan, Z., Lu, Y., Wang, Y., Zhang, X., Duan, H., Cheng, J., Yuan, H., & Han, D. (2018). Identification of a novel TCOF1 mutation in a Chinese family with Treacher Collins syndrome. Exp. Ther. Med., 16(3), 2645–2650. http://doi.org/10.3892/etm.2018.6446