Cortical Visual Impairments and Learning Disabilities

Medical advances in neonatology have improved the survival rate of premature infants, as well as children who are born under difficult neurological conditions. As a result, the prevalence of cerebral dysfunctions, whether minimal or more severe, is increasing in all industrialized countries and in s...

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Main Authors: Sylvie Chokron, Klara Kovarski, Gordon N. Dutton
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-10-01
Series:Frontiers in Human Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnhum.2021.713316/full
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author Sylvie Chokron
Sylvie Chokron
Klara Kovarski
Klara Kovarski
Gordon N. Dutton
author_facet Sylvie Chokron
Sylvie Chokron
Klara Kovarski
Klara Kovarski
Gordon N. Dutton
author_sort Sylvie Chokron
collection DOAJ
description Medical advances in neonatology have improved the survival rate of premature infants, as well as children who are born under difficult neurological conditions. As a result, the prevalence of cerebral dysfunctions, whether minimal or more severe, is increasing in all industrialized countries and in some developing nations. Whereas in the past, ophthalmological diseases were considered principally responsible for severe visual impairment, today, all recent epidemiological studies show that the primary cause of blindness and severe visual impairment in children in industrialized countries is now neurological, with lesions acquired around the time of birth currently comprising the commonest contributor. The resulting cortical or cerebral visual impairments (CVIs) have long been ignored, or have been confused either with other ophthalmological disorders causing low vision, or with a range of learning disabilities. We present here the deleterious consequences that CVI can have upon learning and social interaction, and how these can be given behavioral labels without the underlying visual causes being considered. We discuss the need to train and inform clinicians in the identification and diagnosis of CVI, and how to distinguish the diagnosis of CVI from amongst other visual disorders, including the specific learning disorders. This is important because the range of approaches needed to enhance the development of children with CVI is specific to each child’s unique visual needs, making incorrect labeling or diagnosis potentially detrimental to affected children because these needs are not met.
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spelling doaj.art-6f26817cd7f146e08199eb13ca006b732022-12-21T19:28:44ZengFrontiers Media S.A.Frontiers in Human Neuroscience1662-51612021-10-011510.3389/fnhum.2021.713316713316Cortical Visual Impairments and Learning DisabilitiesSylvie Chokron0Sylvie Chokron1Klara Kovarski2Klara Kovarski3Gordon N. Dutton4Hôpital Fondation Adolphe de Rothschild, Paris, FranceINCC UMR 8002, CNRS, Université de Paris, Paris, FranceHôpital Fondation Adolphe de Rothschild, Paris, FranceINCC UMR 8002, CNRS, Université de Paris, Paris, FranceDepartment of Vision Science, Glasgow Caledonian University, Glasgow, United KingdomMedical advances in neonatology have improved the survival rate of premature infants, as well as children who are born under difficult neurological conditions. As a result, the prevalence of cerebral dysfunctions, whether minimal or more severe, is increasing in all industrialized countries and in some developing nations. Whereas in the past, ophthalmological diseases were considered principally responsible for severe visual impairment, today, all recent epidemiological studies show that the primary cause of blindness and severe visual impairment in children in industrialized countries is now neurological, with lesions acquired around the time of birth currently comprising the commonest contributor. The resulting cortical or cerebral visual impairments (CVIs) have long been ignored, or have been confused either with other ophthalmological disorders causing low vision, or with a range of learning disabilities. We present here the deleterious consequences that CVI can have upon learning and social interaction, and how these can be given behavioral labels without the underlying visual causes being considered. We discuss the need to train and inform clinicians in the identification and diagnosis of CVI, and how to distinguish the diagnosis of CVI from amongst other visual disorders, including the specific learning disorders. This is important because the range of approaches needed to enhance the development of children with CVI is specific to each child’s unique visual needs, making incorrect labeling or diagnosis potentially detrimental to affected children because these needs are not met.https://www.frontiersin.org/articles/10.3389/fnhum.2021.713316/fulllearning disabilityassessmentdifferential diagnosisCVIoccipital
spellingShingle Sylvie Chokron
Sylvie Chokron
Klara Kovarski
Klara Kovarski
Gordon N. Dutton
Cortical Visual Impairments and Learning Disabilities
Frontiers in Human Neuroscience
learning disability
assessment
differential diagnosis
CVI
occipital
title Cortical Visual Impairments and Learning Disabilities
title_full Cortical Visual Impairments and Learning Disabilities
title_fullStr Cortical Visual Impairments and Learning Disabilities
title_full_unstemmed Cortical Visual Impairments and Learning Disabilities
title_short Cortical Visual Impairments and Learning Disabilities
title_sort cortical visual impairments and learning disabilities
topic learning disability
assessment
differential diagnosis
CVI
occipital
url https://www.frontiersin.org/articles/10.3389/fnhum.2021.713316/full
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