Impact of Developmental Language Disorder on Child Development
Case Report and Differential Diagnosis with Autism Spectrum Disorder
DOI:
https://doi.org/10.23925/2176-2724.2024v36i4e68135Keywords:
Child Language, Autism Spectrum Disorder, Specific Language Impairment, Neurodevelopmental Disorders, CognitionAbstract
Introduction: Language processing requires activation of complex neural networks that extend beyond the classic language processing areas in the brain. Impairments in these networks represent a significant risk to the development of speech and language, potentially leading to a diagnosis of Developmental Language Disorder (DLD). Objective: To report the case of a child previously diagnosed with Autism Spectrum Disorder (ASD) who, after a speech-language evaluation, was diagnosed with DLD. Case Report: Male, 5 years and 7 months old. Reported behaviors include shyness, self-aggression, and hypersensitivity to sound and light. During the initial evaluation, the child appeared withdrawn but demonstrated communicative intent and reciprocity in nonverbal communication turns. Symbolic play was observed. Significant alterations were noted in the receptive and expressive language subsystems. The Denver II Test revealed delays in personal-social areas, fine motor skills, and a marked delay in language. Improvement was observed with speech therapy. Discussion: Speech-language pathology focuses on disorders of speech, language, and communication, providing a comprehensive assessment of child development. Language disorders have a profound impact throughout life, affecting social, emotional, and educational development, and increasing the risk of behavioral problems, mental health issues, and employment difficulties in adulthood. Conclusion: This study underscores the importance of clinical evaluation with a broad perspective on developmental milestones in children with DLD, emphasizing that this condition may be accompanied by delays in other extralinguistic developmental milestones.
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Bishop DVM, Snowling MJ, Thompson PA, Greenhalgh T, CATALISE consortium. CATALISE: A Multinational and Multidisciplinary Delphi Consensus Study. Identifying Language Impairments in Children. PLoS One. 2016;11(7). Erratum in: PLoS One. 2016;11(12).
Bishop DVM, Snowling MJ, Thompson PA, Greenhalgh T; CATALISE-2 consortium. Phase 2 of CATALISE: a multinational and multidisciplinary Delphi consensus study of problems with language development: Terminology. J Child Psychol Psychiatry. 2017; 58(10):1068-80.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM). 5th ed., text rev. Arlington, VA: American Psychiatric Publishing; 2022.
Norbury CF, Gooch D, Wray C, Baird G, Charman T, Simonoff E, et al. The impact of nonverbal ability on prevalence and clinical presentation of language disorder: evidence from a population study. J Child Psychol Psychiatry. 2016; 57(11):1247-57.
Favero ML. Avaliação Foniátrica. In: Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Tratado de Otorrinolaringologia e Cirurgia Cérvico-Facial. 3ª ed. São Paulo: Elsevier; 2017. p. 206-7.
World Health Organization (WHO). Early childhood development and disability: a discussion paper [Internet]. 2012. Available from: https://iris.who.int/bitstream/handle/10665/75355/9789241504065_eng.pdf;sequence=1.
Faruk T, King C, Muhit M, Islam MK, Jahan I, Baset KU, et al. Screening tools for early identification of children with developmental delay in low- and middle-income countries: a systematic review. BMJ Open. 2020;10(11).
Waine H, Bates S, Frizelle P, Oh TM. UK speech and language therapists’ assessment of children’s expressive language, and functional impairment and impact, following the CATALISE publications. Int J Lang Commun Disord. 2023; 58(5): 1570-87.
Conti-Ramsden G, Botting N. Emotional health in adolescents with and without a history of specific language impairment (SLI). J Child Psychol Psychiatry. 2008; 49(5): 516-25.
Friederici AD. Towards a neural basis of auditory sentence processing. Trends Cogn Sci. 2002 Feb 1; 6(2): 78-84.
Friederici AD. White-matter pathways for speech and language processing. Handb Clin Neurol. 2015; 129:177-186.
Schönweiler R, Kiese-Himmel C, Plotz K, Nickisch A, Am Zehnhoff-Dinnesen A. Leitlinie, Auditive Verarbeitungs-und Wahrnehmungsstörungen“: Vorschlag für Behandlung und Management bei AVWS: S1-Leitlinie der Deutschen Gesellschaft für Phoniatrie und Pädaudiologie. HNO. 2020; 68(8): 598-612.
Friederici AD. Evolution of the neural language network. Psychon Bull Rev. 2017; 24(1): 41-7.
Friederici AD, Chomsky N, Berwick RC, Moro A, Bolhuis JJ. Language, mind and brain. Nat Hum Behav. 2017 Oct; 1(10): 713-722.
Ardila A, Bernal B, Rosselli M. How extended is Wernicke’s area? Meta-analytic connectivity study of BA20 and integrative proposal. Neuroscience Journal. 2016; 2016: 4962562. doi: 10.1155/2016/4962562.
Bishop DV, North T, Donlan C. Genetic basis of specific language impairment: evidence from a twin study. Dev Med Child Neurol. 1995; 37(1): 56-71.
Van Wijngaarden V, de Wilde H, Mink van der Molen D, Petter J, Stegeman I, Gerrits E, et al. Genetic outcomes in children with developmental language disorder: a systematic review. Front Pediatr. 2024; 12: 1315229.
Mountford HS, Braden R, Newbury DF, Morgan AT. The Genetic and Molecular Basis of Developmental Language Disorder: A Review. Children (Basel). 2022; 9(5): 586.
Eising E, Carrion-Castillo A, Vino A, Strand EA, Jakielski KJ, Scerri TS, et al. A set of regulatory genes co-expressed in embryonic human brain is implicated in disrupted speech development. Mol Psychiatry. 2019; 24(7): 1065-78.
Van Wijngaarden V, de Wilde H, Mink van der Molen D, Petter J, Stegeman I, Gerrits E, Smit AL, van den Boogaard MJ. Genetic outcomes in children with developmental language disorder: a systematic review. Front Pediatr. 2024 Jan 17; 12: 1315229.
Catani M, et al. A novel frontal pathway underlies verbal fluency in primary progressive aphasia. Brain. 2013;136(8): 2619-2628.
Ziegler W, Ackermann H. Subcortical Contributions to Motor Speech: Phylogenetic, Developmental, Clinical. In: Speech Motor Control. Oxford University Press; 2017. p. 81-95.
Baudo MC, et al. Frontal Aslant Tract and Its Role in Language: A Journey Through Tractographies and Dissections. World Neurosurgery. 2023;173: 738-747.
Rolls ET, Deco G, Huang CC, Feng J. The human language is an effective connectome. Neuroimage. 2022; 258: 119352.
Rolls ET, Rauschecker JP, Deco G, Huang CC, Feng J. Auditory cortical connectivity in humans. Cereb Cortex. 2023; 33(10): 6207-27.
Accardo PJ, Capute AJ. The Capute Scales: Cognitive Adaptive Test/Clinical Linguistic & Auditory Milestone Scale (CAT/CLAMS). Baltimore: Brookes Publishing; 2005.
Frankenburg WK, Dodds JB, Archer P, et al. The Denver II: a major revision and restandardization of the Denver Developmental Screening Test. Pediatrics. 1992.
Souza AP, Silva RC. Avaliação do desenvolvimento infantil: o uso do Denver II por fonoaudiólogos e terapeutas ocupacionais. Cad Saude Publica. 2012; 28(4): 667-74.
Rodrigues MM, Almeida FA. Aplicabilidade do teste Denver II em crianças brasileiras: uma revisão sistemática. J Pediatr (Rio J). 2015; 91(5): 450-56.
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Copyright (c) 2024 Fernanda Correia Santos Bahia Alvarenga, Vanessa Magosso Franchi, Ana Paula Cavalieri Pontes , Gabriela Silva Teixeira Cavalcanti, Isamara Simas de Oliveira Pena, Mônica Elisabeth Simons Guerra
This work is licensed under a Creative Commons Attribution 4.0 International License.
