Abstract
We explored in 40 prepubertal short children without organic disease (age 5 to 12 y., mean height - 2,6 ± 0,6 SD), the possible expression of an abnormal GH-secretion in a neuropsychological figure drawing tesl analysed with an original methodology. Nocturnal GH-profile, L-Dopa test and GHRH test were performed. The children underwent the psychological assessment, including the Rey-Osterrieth test and an IQ evaluation before medical investigation. The Rey figure was scored anonymously according to the boundary type errors defined as non developmental severe distortions or disrespect of boundaries, 23 children had normal mid 17 had abnormal GH-secretion. Among those, 4 children had complete and 13 had partial GH deficiency but all of them had low nocturnal GH-secretion (AUCb < 85 ng/ml/12h). 17 children had a normal Key figure and 23 had boundary type errors. Mean IQ was normal in both groups. The biological and the psychological analysis were in agreement in 32 children (p < 0.0005). Night GH-secretion was lower (p < 0.006) in children with boundary type errors (AUCb mean ± SEM 88.5 ± 8 ng/ml/12h) as compared to children with normal Rey figure (AUCb 140.7 ± 17.9). In conclusion, these results poinl to particular anomalies, independant of the IQ, at a visuomotor psychological test in short children with abnormal GH-secretion.
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Fjellestad-Paulsen, A., Andronikof-Sanglade, A., Ricard-Malivoir, S. et al. CONCORDANCE BETWEEN BIOLOGY AND A VISUAL MOTOR PSYCHOLOGICAL TEST IN SHORT CHILDREN. Pediatr Res 33 (Suppl 5), S47 (1993). https://doi.org/10.1203/00006450-199305001-00262
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DOI: https://doi.org/10.1203/00006450-199305001-00262