Abstract
Twenty-eight children in remission at least 2 years after completing chemotherapy for acute lymphoblastic leukaemia were assessed on standardised psychological tests. It was found that 7 who never had central nervous system (CNS) irradiation and 9 having prophylactic CNS irradiation at least 6 months after diagnosis tended to perform at average or above levels, while those 10 each having prophylactic CNS irradiation (within 2 months of diagnosis) were generally of lower ability. Within the latter group, 3 children showed serious intellectual impairments, while the group as a whole functioned especially poorly on quantitative tasks and those involving speeded performance with abstract material. General language ability was not affected. Practical and theoretical implantation are discussed.
Full text
PDF




Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Eiser C., Lansdown R. Retrospective study of intellectual development in children treated for acute lymphoblastic leukaemia. Arch Dis Child. 1977 Jul;52(7):525–529. doi: 10.1136/adc.52.7.525. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hoorweg J., Stanfield J. P. The effects of protein energy malnutrition in early childhood on intellectual and motor abilities in later childhood and adolescence. Dev Med Child Neurol. 1976 Jun;18(3):330–350. doi: 10.1111/j.1469-8749.1976.tb03656.x. [DOI] [PubMed] [Google Scholar]
- McCarthy M. Social aspects of treatment in childhood leukaemia. Soc Sci Med. 1975 Apr-May;9(4-5):263–269. doi: 10.1016/0037-7856(75)90032-3. [DOI] [PubMed] [Google Scholar]
- Meadows A. T., Evans A. E. Effects of chemotherapy on the central nervous system. A study of parenteral methotrexate in long-term survivors of leukemia and lymphoma in childhood. Cancer. 1976 Feb;37(2 Suppl):1079–1085. doi: 10.1002/1097-0142(197602)37:2+<1079::aid-cncr2820370815>3.0.co;2-d. [DOI] [PubMed] [Google Scholar]
- Price R. A., Jamieson P. A. The central nervous system in childhood leukemia. II. Subacute leukoencephalopathy. Cancer. 1975 Feb;35(2):306–318. doi: 10.1002/1097-0142(197502)35:2<306::aid-cncr2820350203>3.0.co;2-j. [DOI] [PubMed] [Google Scholar]
- REED H. B., Jr, REITAN R. M. Intelligence test performances of brain damaged subjects with lateralized motor deficits. J Consult Psychol. 1963 Apr;27:102–106. doi: 10.1037/h0040697. [DOI] [PubMed] [Google Scholar]
- Searleman A. A review of right hemisphere linguistic capabilities. Psychol Bull. 1977 May;84(3):503–528. [PubMed] [Google Scholar]
- Soni S. S., Marten G. W., Pitner S. E., Duenas D. A., Powazek M. Effects of central-nervous-system irradiation on neuropsychologic functioning of children with acute lymphocytic leukemia. N Engl J Med. 1975 Jul 17;293(3):113–118. doi: 10.1056/NEJM197507172930303. [DOI] [PubMed] [Google Scholar]
- Wood J. W., Johnson K. G., Omori Y. In utero exposure to the Hiroshima atomic bomb. An evaluation of head size and mental retardation: twenty years later. Pediatrics. 1967 Mar;39(3):385–392. [PubMed] [Google Scholar]