Surprisingly, reading performances did not reflect the same pattern of differences. Children with distal and proximal mutations demonstrated very similar patterns and degrees of impairment in reading. Interesting differences, however, appeared in the patterns of correlations of reading skills with other Raf inhibitor cognitive and neuropsychologic functions. Children with distal mutations in the Duchenne muscular dystrophy gene exhibited positive associations between reading accuracy and long-term memory functions (in the Information subtest of the Wechsler Intelligence Scale for Children-Revised), as well as between reading speed and

logical sequencing abilities (Picture Arrangement). ABT-199 cell line Children with proximal mutations in the Duchenne muscular dystrophy gene, on the other hand, demonstrated associations between reading speed and lexical and phonologic competence, and with visual memory, whereas reading accuracy correlated with syntactic skills and some computational skills (working memory and auditory attention

were excluded, because no associations were evident with their specific measures) measured by the Arithmetic subtest of the Wechsler Intelligence Scale for Children-Revised. In dystrophic patients with distal mutations, deficits in academic ability seem to involve primarily verbal long-term memory, and these deficits seem to be relatively independent of their (severe) limitations in linguistic and visuospatial abilities. Fenbendazole The great amount of heterogeneity usually described for cognitive and intellectual functions in the population with Duchenne muscular dystrophy may thus be largely dependent on the two genetic and functional types being intermingled within groups. In summary, apart from a general greater

impairment in all cognitive functions for dystrophic patients with distal mutations, specific differences concern visuospatial functions and visual memory, which seem to be intact in proximally mutated patients, and syntactic processing, which is impaired in both groups, but more severely in the distally mutated group. Thus, the present data, obtained directly through a thorough and wide-ranging cognitive assessment (different from previous analyses based on academic achievement), support the hypothesis of a relationship between cognitive impairment and a lack of Dp140. In particular, the lack of Dp140 seems to produce specific deficits in visuospatial abilities, verbal and visual memory, and syntactic skills, whereas general verbal deficits are also evident in the presence of Dp140. The precise, differential effects of different mutation sites on the expression of dystrophin-related products in the brain remain to be clarified.