Table 5

CNS findings in long-term survivors

UPNCurrent ageMajor findingsCNS imaging after HSCT (age)Abnormal findings
Special school
HyperactivityMotor dysfunctionVerbal expressionHearing deficitSeizuresLearning disability
U466 4 y Normal ND − − − − − — − 
U396 6 y Muscular hypotonia (4 mo); sitting without support (18 mo); walking (24 mo); current: gross motor coordination disorder with tiptoe walking, reduced verbal expression (5-10 words), severe learning disability, hyperactivity, continuous special care US: normal (6 mo) − − Severe 
U301 9 y Pendular nystagmus (5 mo); sitting without support (16 mo); walking (24 mo); current: gross motor coordination disorder with tiptoe walking, pendular nystagmus, reduced verbal expression, sensorineural hearing deficit, severe learning disability, hyperactivity, continuous special care US: normal (3 mo) − Severe 
U175 14 y Mild learning disability ND − − − Mild 
U118 17 y Normal, finished regular school CT scan: normal (6 mo) − − − − − — − 
M1052 9 y Developmental delay (4 mo); sitting without support (11 mo); walking (18 mo); current: fine motor and coordination deficit, slurred speech, hyperactivity, mild learning disability ND − Mild 
M1053 9 y Muscular hypotonia (4 mo); sitting without support (18 mo); walking (24 mo); seizures (35 y); current: spastic diplegia, slurred speech, reduced verbal expression (< 10 words), severe learning disability, seizures, continuous special care MRI: mild expansion of external CSF space (6 y) − − Severe 
U442 5 y Normal ND − − − − − — − 
U444 5 y Normal US: normal (3 mo) − − − − − — − 
U51 21 y Hearing deficit (12 mo); sitting without support (12 mo); walking (23 mo); current: reduce expressive speech, attention deficit, moderate to severe learning disability, hyperactivity, needs support in everyday life CT-scan: normal (8 mo+5 y) − Moderate/severe 
U36 22 y Normal, finished regular school ND − − − − − — − 
U26 22 y Generalized muscular hypertonia (11 mo); sitting without support (15 mo); walking (20 mo); current: fine motor and coordination deficit, slurred speech, attention deficit, moderate learning disability, needs support in everyday life ND − − Moderate 
UPNCurrent ageMajor findingsCNS imaging after HSCT (age)Abnormal findings
Special school
HyperactivityMotor dysfunctionVerbal expressionHearing deficitSeizuresLearning disability
U466 4 y Normal ND − − − − − — − 
U396 6 y Muscular hypotonia (4 mo); sitting without support (18 mo); walking (24 mo); current: gross motor coordination disorder with tiptoe walking, reduced verbal expression (5-10 words), severe learning disability, hyperactivity, continuous special care US: normal (6 mo) − − Severe 
U301 9 y Pendular nystagmus (5 mo); sitting without support (16 mo); walking (24 mo); current: gross motor coordination disorder with tiptoe walking, pendular nystagmus, reduced verbal expression, sensorineural hearing deficit, severe learning disability, hyperactivity, continuous special care US: normal (3 mo) − Severe 
U175 14 y Mild learning disability ND − − − Mild 
U118 17 y Normal, finished regular school CT scan: normal (6 mo) − − − − − — − 
M1052 9 y Developmental delay (4 mo); sitting without support (11 mo); walking (18 mo); current: fine motor and coordination deficit, slurred speech, hyperactivity, mild learning disability ND − Mild 
M1053 9 y Muscular hypotonia (4 mo); sitting without support (18 mo); walking (24 mo); seizures (35 y); current: spastic diplegia, slurred speech, reduced verbal expression (< 10 words), severe learning disability, seizures, continuous special care MRI: mild expansion of external CSF space (6 y) − − Severe 
U442 5 y Normal ND − − − − − — − 
U444 5 y Normal US: normal (3 mo) − − − − − — − 
U51 21 y Hearing deficit (12 mo); sitting without support (12 mo); walking (23 mo); current: reduce expressive speech, attention deficit, moderate to severe learning disability, hyperactivity, needs support in everyday life CT-scan: normal (8 mo+5 y) − Moderate/severe 
U36 22 y Normal, finished regular school ND − − − − − — − 
U26 22 y Generalized muscular hypertonia (11 mo); sitting without support (15 mo); walking (20 mo); current: fine motor and coordination deficit, slurred speech, attention deficit, moderate learning disability, needs support in everyday life ND − − Moderate 

US indicates ultrasound; CSF, cerebrospinal fluid; +, present finding; and −, absent finding.

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