studies Schmahmann and Sherman in 1998 have shown that acquired cerebellar lesions in adults and children can also cause a variety of disorders - which together have been defined as " CCAS: Cerebellar Cognitive Affective Syndrome "- characterized by reduced cognitive skills general type with specific fall neuropsychological, speech disorders and disorders of affect expression . In short, individuals with acquired damage to the cerebellum is likely to manifest deficits in addition to those engines and could affect the ability of communication and socialization. So far, however, was not known whether a similar set of symptoms was also found in individuals with a congenital cerebellar malformation. The study of ' IRCCS "E. Medea" , published in the journal Brain, "has taken in analyzing the data for 27 subjects with congenital malformations of the cerebellum. A detailed clinical and neuropsychological investigation made it possible to highlight a broad spectrum of disorders, thereby confirming the central role of the cerebellum in the acquisition of skills not only motor but also cognitive and affective . For example, researchers have demonstrated the involvement of the cerebellum in the control of certain cognitive tasks and neuropsychological, language, interpersonal interaction, control and modulation of affect, development and learning in general, in the pathogenesis of some forms of autism. In particular, malformations involving the phylogenetically oldest portion of the cerebellum - the worm - produced the most important disorders of affect and social participation and lead to the development of frameworks to poorer prognosis, often associated with conduct that the autism spectrum. Malformations involving the cerebellar hemispheres are more frequently associated with selective neuropsychological deficits involving executive function, visuospatial skills and language. Of motor disorders are generally less severe and have a tendency to a slow but progressive improvement often to the achievement of full functionality. An important finding revealed by this study concerns the effectiveness of rehabilitation in the treatment of neurological diseases based malformation, even with early manifestations very serious, and therefore the possibility that acquisitions are very late and at times not traditionally considered susceptible to possible further developments. "This study is the product of the clinical work that has always characterized the rehabilitation centers of Our Family " - said Renato Borgatti, EU primary NR1 IRCCS" E. Medea "Our family is responsible for the research project -" work in fact comes from a very thorough diagnostic effort associated with a thorough assessment of cognitive and behavioral profile, all aimed at creating a proposed rehabilitative intervention. It 'also the result of the integration of competence centers with high specificity, but of our family, like the Rare Diseases Service and Neuropsychology of developmental Polo Bosisio and service of Neurolinguistics Polo San Vito al Tagliamento and Pasian di Prato . "
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