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Visual Perception in Children With a History of Hypoglycemia Due to Hyperinsulinism Publisher



Ghazavi MR1 ; Nasiri J1 ; Momeni A2 ; Hashemipour M3
Authors
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Authors Affiliations
  1. 1. Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan, Iran
  2. 2. Pediatric Department, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Metabolic Liver Disease Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Iranian Journal of Child Neurology Published:2024


Abstract

Objectives Hyperinsulinism refers to improper insulin secretion in the presence of low plasma glucose, causing severe and persistent hypoglycemia in infants and children. The brain’s occipital lobe, which includes the visual and plays an essential role in visual perception is specifically sensitive to hypoglycemia-induced damage. The present study aims to investigate the visual perception in children suffering from hyperinsulinism and to compare it with the control group. Materials & Methods This cross-sectional control study, conducted in 2020 in Isfahan, Iran, involved 20 children aged 4-13 years with hyperinsulinism and 20 healthy children of the same age and gender for comparison. In both groups, the measuring instrument was the Test of Visual Perceptual Skills (non-motor) Third Edition. Results The mean visual perceptual quotient in the case and control groups was 80.50±26.74 and 116.50±7.56 (p-value<0.001), respectively. The results overall indicated that children suffering from hyperinsulinism were weaker than healthy children in all areas of visual perception. Conclusion Based on the obtained results, it is recommended that children suffering from hyperinsulinism be screened regarding visual perceptual disorders since this screening may be helpful in initiating different rehabilitation programs among these patients. © 2023 The Authors. Published by Shahid Beheshti University of Medical Sciences.