After the age of twelve:
·
Tendency
towards negligent, careless, sometimes incomprehensible writing.
·
Grammar
inconsistencies and orthographic mistakes, sometimes permanent omissions,
changes and additions, just like mentioned at the previous step.
·
Difficulty
to plan and write stories and all kinds of written compositions.
·
Tendency
to confound oral instructions and phone numbers.
·
Great
difficulty in learning foreign languages.
·
Low
self-esteem.
·
Difficulty
in perception of the language, like in the case of following instructions.
·
Poor
reading comprehension.
·
Occurrence
of disruptive behavior or progressive seclusion, sometimes leading to
depression.
·
Aversion
towards reading and writing.
All these disorders that start during infancy, childhood or
adolescence require treatment as quick as possible, in order to avoid a great
amount of suffering for the child and his family, and to ensure higher chances
of improving the quality of his life.
The neurocognitive evaluation allows us to carry
investigations at different levels, from syndromic to physiopathologic and
etiologic.
Syndromic investigations let us evaluate the constituent
signs and symptoms and lead us to consider a presumptive diagnosis of a
clinical syndrome that must later be confirmed by specific evidence of academic
difficulties. Neuropsychology plays an important role in helping us recognize
the basic cerebral mechanisms that are involved in each case and, by
associating them with physiopathologic studies, we get a complete picture, so
that we can discern clear neuropsychological subtypes.
The possibility to include complementary studies that
investigate cerebral structure – neuroimages, functional studies using
radioactive compounds, PET (positron emission tomography), and SPECT-CBF (cerebral
blood flow single photon emission computed tomography) – and cerebral
functionality – neurophysiology, evoked potentials, cognitive potentials, quantitative
electroencephalography (QEEG), analysis of the inter- and intra-hemispherical
coherence – complete the third level of clinical investigation, essential for
discovering the cause of the disorder, understanding the prognosis and also
administering adequate treatment, tailored for each child.