MEDICAL AND SOCIAL-FACTORS ASSOCIATED WITH COGNITIVE OUTCOME IN INDIVIDUALS WITH MYELOMENINGOCELE

The interrelationship between biological and social risk factors and c ognitive outcome in individuals with myelomeningocele was examined. Th e Kaufman Brief Intelligence Test (K-BIT) was administered to 65 child ren and young adults, age range 4 to 29 during a recent clinic visit. Unshunted individuals had scores in the average range and individuals with uncomplicated hydrocephalus in the low-average range, Although th e level of lesion was found to be most strongly associated with total K-BIT score, examination of subscores indicated that socioeconomic sta tus was the factor most strongly associated with Vocabulary score, The importance of both social and biological factors in predicting cognit ive outcome in this population is useful in planning intervention stra tegies.