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Abstract:
Abstract: Thirty seven children with unilateral cortical
lesions received parental ratings of the Child Behavior Checklist
(CBC), and completed other tests. The CBS subscale scores did not
correlate with lesion volume, etiology, hemiparesis, age at onset,
age at testing, medical complications or gender. The internalizing
and externalizing subscales did not differ as a function of lesion
side, nor did any of the other eight clinical subscales except the
"Attention Problems" subscale -which was significantly worse in the
children with left hemisphere lesions. This particular subscale was
also significantly more elevated than any other subscale of the CBC
overall. The cohort as a whole, and the right and left lesioned
groups all manifested significantly more internalizing than
externalizing psychopathology. Nine children had lesions limited to
the frontal lobe and eight to the temporal lobe. Only one of the
ten CBC clinical subscales contributed to an interaction between
lesion side and intrahemispheric locus of lesion: the children with
left frontal lesions had the highest "Attentional Problems" ratings
(M=70, T scale), whereas the children with right frontal lesions or
left temporal lesions had the lowest (M = 55-57, T scale). The
"Attention Problems" scale was significantly correlated with errors
on the Digit Symbol subtest of the WISC. Among other things, these
findings suggest that the "Attention Problems" scale of the CBC may
be particularly sensitive to specific cognitive impairments
engendered by left frontal lesions in children.
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