Abstract
Two types of dysgraphia may be distinguished: the core ones, which reflect damage to the linguistic orthographic routes, and the peripheral ones, produced by alterations in the selection or execution of graphic motor patterns. We report the case of an 8-year-old male child, who consulted specialists due to difficulties in writing, with a background of acute cerebellar swelling at the age of 4. The writing pattern he has developed shows characteristic errors of a peripheral dysgraphia. The magnetic resonance imaging taken during the neuropsychological evaluation shows a mild atrophy in the cerebellum cortex. Our case is similar to previous studies of adult patients and equally supports the fact that the functional network responsible for the peripheral control of writing abilities may include the cerebellum, which not only maintains previously learnt writing processes but is also involved in the evolutionary acquisition of this ability.
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References
Ellis AW. Normal writing processes and peripheral acquired dysgraphias. Lang Cogn Processes. 1988;3:99–127.
Lebrun Y. Neurolinguistic models of language and speech. In: Whitaker H, Withaker HA, editors. Studies in neurolinguistics. New York: Academic; 1976. p. 1–30.
Ardila A, Rosselli M. Spatial agraphia. Brain Cogn. 1993;22:137–47.
Rapcsack SZ, Beeson PM. Agraphia. In: Nadeau SE, González Rothi LJ, Crosson B, editors. Aphasia and language. Theory to practice. New York: The Guildford Press; 2000. p. 184–220.
Silveri MC, Misciagna S, Leggio MG, Molinari M. Spatial dysgraphia and cerebellar lesion: a case report. Neurology. 1997;48:1529–32.
Silveri MC, Misciagna S, Leggio MG, Molinari M. Cerebellar spatial dysgraphia: further evidence. J Neurol. 1999;246:312–3.
Lambert J, Giffard B, Nore F, de la Sayette V, Pasquier F, Eustacha F. Central and peripheral agraphia in Alzheimer's disease: from the case of August D. to a cognitive neuropsychology approach. Cortex. 2007;43:935–51.
Riva D. Cerebellar contribution to behaviour and cognition in children. J Neurolinguistics. 2000;13:215–25.
Frank B, Schoch B, Richter S, Frings M, Karnath H, Timmann D. Cerebellar lesion studies of cognitive function in children. Cerebellum. 2007;6:242–53.
Riva D. The cerebellar contribution to language and sequential functions: evidence from a child with cerebellitis. Cortex. 1998;34:279–87.
Levisohn L, Cronin-Golomb A, Schmahmann JD. Neuropsychological consequences of cerebellar tumour resection in children. Brain. 2000;123(5):1041–50.
Riva D, Giorgi C. The neurodevelopmental price of survival in children with malignant brain tumours. Childs Nerv Syst. 2000;16(10–11):751–4.
Steinlin M. Cerebellar disorders in childhood: cognitive problems. Cerebellum. 2008;7:607–10.
Beebe DW, Ris MD, Armstrong FD, Fontanesi J, Mulhern R, Holmes E, et al. Cognitive and adaptive outcome in low-grade pediatric cerebellar astrocytomas: evidence of diminished cognitive and adaptive functioning in national collaborative research studies. J Clin Oncol. 2005;23(22):5198–204.
Gottwald B, Wilde B, Mihajlovic Z, Mehdorn HM. Evidence for distinct cognitive deficits after focal cerebellar lesions. J Neurol Neurosurg Psychiatry. 2004;75:1524–31.
Hokkanen LSK, Kauranen V, Roine RO, Salonen O, Kotilla M. Subtle cognitive deficits after cerebellar infarcts. Eur J Neurol. 2006;13(2):161–70.
Baillieux H, De Smet HJ, Lesage G, Paquier P, De Deyn PP, Mariën P. Neurobehavioral alterations in an adolescent following posterior fossa tumor resection. Cerebellum. 2006;5(4):289–95.
Marien P, Verhoeven J, Brouns R, De Witte L, Dobbeleir A, De Deyn PP. Apraxic agraphia following a right cerebellar hemorrhage. Neurology. 2007;69(28):926–9.
Jansen A, Flöel A, Van Randenborgh JV, Honrad C, Rotte M, Förster AF, et al. Crossed cerebro-cerebellar language dominance. Hum Brain Mapp. 2004;24(3):165–72.
Molinari M, Leggio MG. Cerebellar information processing and visuospatial functions. Cerebellum. 2007;6:214–20.
Paquier PF, Mairën P. A synthesis of the role the cerebellum in cognition. Aphasiology. 2005;1:3–19.
Margolin DI. The neuropsychology of writing and spelling: semantic phonological, motor, an perceptual processes. Q J Exp Psychol. 1984;36A:459–89.
Silveri MC, Misciagna S. Language, memory, and the cerebellum. Neurolinguistics. 2000;13:129–43.
Gordon N. The cerebellum and cognition. Eur J Paediatr Neurol. 2007;11:232–4.
Konczak J, Timmann D. The effect of damage to the cerebellum on sensoriomotor and cognitive function in children and adolescents. Neurosci Biobehav Rev. 2007;31(8):1101–13.
Mariën P, Baillieux H, De Smet HJ, Engelborghs S, Wilssens I, Paquier P, et al. Cognitive, linguistic and affective disturbances following a right superior cerebellar artery infarction: a case study. Cortex. 2009;45:527–36.
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Thanks are given to Ignacio González Vañó for the revision of the English text.
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List of tests used at Niño Jesus Children's University Hospital for neuropsychological assessment (DOC 44 kb)
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Fournier del Castillo, M.C., Maldonado Belmonte, M.J., Ruiz-Falcó Rojas, M.L. et al. Cerebellum Atrophy and Development of a Peripheral Dysgraphia: A Paediatric Case. Cerebellum 9, 530–536 (2010). https://doi.org/10.1007/s12311-010-0188-3
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DOI: https://doi.org/10.1007/s12311-010-0188-3