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Neurocognitive functioning in youth with pediatric autoimmune neuropsychiatric disorders associated with streptococcus.

Abstract
This study evaluated neurocognitive functioning in 26 youth with Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal infections (PANDAS) and primarily obsessive-compulsive disorder (OCD) symptoms. Marked impairment in visuospatial recall memory (as assessed using the Rey-Osterrieth Complex Figure Test) was observed in spite of average to above-average performance on academic and other neurocognitive measures. Group A beta-hemolytic Streptococcus titer elevations were associated with worse performance on tasks of neurocognitive and executive ability (Stroop Color-Word Interference Test), visuospatial memory, and fine motor speed (finger tapping) as well as elevated obsessive-compulsive symptom severity.
AuthorsAdam B Lewin, Eric A Storch, P Jane Mutch, Tanya K Murphy
JournalThe Journal of neuropsychiatry and clinical neurosciences (J Neuropsychiatry Clin Neurosci) Vol. 23 Issue 4 Pg. 391-8 ( 2011) ISSN: 1545-7222 [Electronic] United States
PMID22231309 (Publication Type: Journal Article, Research Support, N.I.H., Extramural)
Chemical References
  • Antistreptolysin
Topics
  • Adolescent
  • Antistreptolysin (blood)
  • Autoimmune Diseases (complications)
  • Child
  • Child, Preschool
  • Cognition Disorders (diagnosis, etiology, microbiology)
  • Female
  • Humans
  • Longitudinal Studies
  • Male
  • Neuropsychological Tests
  • Obsessive-Compulsive Disorder (complications)
  • Psychiatric Status Rating Scales
  • Streptococcal Infections (complications)
  • Streptococcus (pathogenicity)

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