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Neurology Research International
Volume 2010, Article ID 765780, 14 pages
http://dx.doi.org/10.1155/2010/765780
Case Report

Early Bifrontal Brain Injury: Disturbances in Cognitive Function Development

1Service de Neurologie Pédiatrique, Centre Neurologique William Lennox, Cliniques Saint-Luc, Université catholique de Louvain, Avenue Hippocrate, 10/1067, Ottignies-Louvain-la-Neuve, 1200 Bruxelles, Belgium
2Département des Sciences Cognitives, Faculté de Psychologie et des Sciences de l'Education, Université de Liège, 4000 Liège, Belgium

Received 2 January 2010; Accepted 13 June 2010

Academic Editor: Jason J. S. Barton

Copyright © 2010 Christine Bonnier et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We describe six psychomotor, language, and neuropsychological sequential developmental evaluations in a boy who sustained a severe bifrontal traumatic brain injury (TBI) at 19 months of age. Visuospatial, drawing, and writing skills failed to develop normally. Gradually increasing difficulties were noted in language leading to reading and spontaneous speech difficulties. The last two evaluations showed executive deficits in inhibition, flexibility, and working memory. Those executive abnormalities seemed to be involved in the other impairments. In conclusion, early frontal brain injury disorganizes the development of cognitive functions, and interactions exist between executive function and other cognitive functions during development.