Question: I am trying to determine if there is any particular syndrome that would fit the profile of a youngster, age 9, with specific deficits as follows:
1). early developmental delays with speech - articulation, formulating sentences, word retrieval - mostly remediated - articulation and word retrieval problems remain. sees private S/L therapist
2). sensory issues from early on - child participated in sensory intetegration treatment. No OT/PT now.
3). Motor coordination awkwardness from early on - bumping into things, spatial awareness, trouble learning to ride a two wheeler, yet is athletic - great tennis player. He rolled over/walked on the early side. Had both gross motor and fine motor problesm - trouble jumping on two feet. Some mixing up of left and right. But can identify both left and right on self and others now.
4). behavioral issues - licking his hands/fingers and nose picking. Emotionally, can show sensitivity to others, yet sometimes impulsively say rude things. Has attentional issues, impuslive behaviors, fidgety - symptoms of ADHD
5). Visual motor integration difficulties - severe deficits on Bender Gestalt test - very disorganized, figures overlapping.
6) Exceptionally talented in math
6).Written expression is very challening
7) HIgh Average cognitive abilities - only weakness is writing.
8). Trouble sititng still, falls out of chair, really struggles to complete academic tasks.
9) Looks like a Nonverbal learning disabilti but does not fit the classic profile of the verbal/nonverbal split.
10). Asperger's ratings/autism ratings came back insignificant - not likely.
11). Cognitive decline in some areas over time (long term memory significantly weaker, fluid reasoning much lower but both still average - went from superior to average), but gain in other areas (verbal comprehension, but not significant gains). Some decline in achievement noted as well - went from High Average to Average in reading and writing.
12. Most impaired neurocogntiive area is organization, acquisition, encoding and retrieval of complex visual-spatial information, more specifically complex visual abstract information.

Suggestions? Any syndrome other than ADHD?

He has been seen by neurology, developmental pediatrician, neuropsychology, speech language/pt/ot. So far, no one has pinpointed particular syndrome. Genetic testing was unremarkable as well.