Language Disorders Among Non-Disabled Children After Perinatal Asphyxia: A Cross Sectional Descriptive Study Using Neurolinguistic Approach

Rev Colomb Psiquiatr (Engl Ed). 2024 Jul-Sep;53(3):238-245. doi: 10.1016/j.rcpeng.2023.01.001.
[Article in English, Spanish]

Abstract

Neonatal hypoxic-ischemic encephalopathy after perinatal asphyxia causes neurolinguistic disturbances in children without disabilities. Poor academic performance appears as a long-term result. Language intervention is sought to reduce harmful effects on children. The aim of this study is showing the relationship between clinical conditions of hypoxic-ischemic-encephalopathy (HIE) and language disorders in children without disabilities. This cross-sectional study with a neurolinguistic approach was carried out in patients with perinatal asphyxia during childbirth, at the ZH Sikder Women's Medical College Hospital, Bangladesh. Respondents between 4 and 12 years, 76% underwent cranial computed tomography (CT); 82% underwent magnetic resonance imaging (MRI); and 70% underwent electroencephalogram (EEG). Among them were found positive results for neonatal hypoxia ischemic encephalopathy (EHI). These results are related to the following language disorders: reception/perception disorder (64%), sociolinguistic disorders (84%); metalinguistic competence disorder (66%); 86% of children had poor peer relationships and 72% had reading and writing disorders. Concluding, school-age children after perinatal asphyxia who developed Hypoxic-Ischemic Encephalopathy (HIE) had language disorders and poor school performance. There are still challenges to be overcome, as this is the first neurolinguistic approach in Bangladesh. More large-scale studies are needed.

Keywords: Asfixia perinatal; Bangladesh; Language disorders; Neurolinguistics; Neurolingüística; Perinatal asphyxia; Poor academic performance; Rendimiento académico deficiente; Trastornos del lenguaje.

MeSH terms

  • Academic Performance
  • Asphyxia Neonatorum* / complications
  • Bangladesh / epidemiology
  • Child
  • Child, Preschool
  • Cross-Sectional Studies
  • Electroencephalography
  • Female
  • Humans
  • Hypoxia-Ischemia, Brain* / etiology
  • Infant, Newborn
  • Language Disorders* / etiology
  • Magnetic Resonance Imaging*
  • Male
  • Tomography, X-Ray Computed