Diverse Linguistic Development in Prelingually Deaf Children with Cochlear Implants

The advent of cochlear implants has enormously improved the quality of sensory perception in deaf children. Notwithstanding these advantages, the current literature shows a substantial variability in language proficiency among implanted children. This case series explores the variability of language...

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Main Authors: Pia De Stefano, Francesco Pisani, Giuseppe Cossu
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2019/1630718
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author Pia De Stefano
Francesco Pisani
Giuseppe Cossu
author_facet Pia De Stefano
Francesco Pisani
Giuseppe Cossu
author_sort Pia De Stefano
collection DOAJ
description The advent of cochlear implants has enormously improved the quality of sensory perception in deaf children. Notwithstanding these advantages, the current literature shows a substantial variability in language proficiency among implanted children. This case series explores the variability of language acquisition in congenitally deaf children with cochlear implants. We report 4 prelingually deaf children (mean age=10.5; SD=1.08), affected by a genetically determined bilateral deafness, due to GJB2 gene mutation Cx26. Each implanted child underwent a systematic assessment of speech perception and production, as well as of lexical, morphologic, and syntactic skills in both comprehension and production. Notwithstanding similar clinical histories and similarly good postimplant pure-tone audiometry, two of the four children fared very poorly in speech audiometry, whereas the other two children gained very good results. We suggest that the language impairment detected in (some) implanted children may not be fully accounted for by pure auditory thresholds and that may be the outcome of concomitant damage to core components of the child’s linguistic brain.
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publishDate 2019-01-01
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series Behavioural Neurology
spelling doaj-art-53ffd60a1f254f47b0f02192f6e4b7bd2025-02-03T01:28:53ZengWileyBehavioural Neurology0953-41801875-85842019-01-01201910.1155/2019/16307181630718Diverse Linguistic Development in Prelingually Deaf Children with Cochlear ImplantsPia De Stefano0Francesco Pisani1Giuseppe Cossu2Neurology Unit, Department of Clinical Neurosciences, Geneva University Hospitals, Geneva, SwitzerlandChild Neuropsychiatry Unit, Medicine and Surgery Department, University of Parma, ItalyMedical Centre of Phoniatrics, Padova, ItalyThe advent of cochlear implants has enormously improved the quality of sensory perception in deaf children. Notwithstanding these advantages, the current literature shows a substantial variability in language proficiency among implanted children. This case series explores the variability of language acquisition in congenitally deaf children with cochlear implants. We report 4 prelingually deaf children (mean age=10.5; SD=1.08), affected by a genetically determined bilateral deafness, due to GJB2 gene mutation Cx26. Each implanted child underwent a systematic assessment of speech perception and production, as well as of lexical, morphologic, and syntactic skills in both comprehension and production. Notwithstanding similar clinical histories and similarly good postimplant pure-tone audiometry, two of the four children fared very poorly in speech audiometry, whereas the other two children gained very good results. We suggest that the language impairment detected in (some) implanted children may not be fully accounted for by pure auditory thresholds and that may be the outcome of concomitant damage to core components of the child’s linguistic brain.http://dx.doi.org/10.1155/2019/1630718
spellingShingle Pia De Stefano
Francesco Pisani
Giuseppe Cossu
Diverse Linguistic Development in Prelingually Deaf Children with Cochlear Implants
Behavioural Neurology
title Diverse Linguistic Development in Prelingually Deaf Children with Cochlear Implants
title_full Diverse Linguistic Development in Prelingually Deaf Children with Cochlear Implants
title_fullStr Diverse Linguistic Development in Prelingually Deaf Children with Cochlear Implants
title_full_unstemmed Diverse Linguistic Development in Prelingually Deaf Children with Cochlear Implants
title_short Diverse Linguistic Development in Prelingually Deaf Children with Cochlear Implants
title_sort diverse linguistic development in prelingually deaf children with cochlear implants
url http://dx.doi.org/10.1155/2019/1630718
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AT giuseppecossu diverselinguisticdevelopmentinprelinguallydeafchildrenwithcochlearimplants