This practice-based case review examines the neurodevelopmental and educational profile of a 7-year-old Chinese girl in Singapore diagnosed with Batten disease, specifically the CLN2 subtype of neuronal ceroid lipofuscinosis. The report presents findings from a comprehensive multidisciplinary assessment encompassing cognitive, adaptive, academic, motor, visual, and emotional functioning. Assessment results indicate significant neurocognitive and functional regression characterized by extremely low processing speed, severe visual–spatial impairment, declining literacy skills, motor coordination deficits, and reduced adaptive independence. Despite these declines, relative strengths were observed in verbal comprehension and social engagement. The case illustrates the complex interaction between progressive neurodegeneration and educational functioning in childhood. Given the degenerative trajectory of CLN2 disease, intervention priorities shift from traditional remediation toward functional maintenance, quality-of-life enhancement, and psychosocial support. The report discusses educational therapy adaptations including multisensory and auditory instructional strategies, augmentative communication planning, physiotherapy, and family-centered counseling. A multidisciplinary and palliative-developmental framework is recommended to support the child’s evolving needs while addressing emotional and caregiving challenges faced by the family. This case highlights the critical role of comprehensive assessment and individualized educational therapy planning in managing rare neurodegenerative conditions within inclusive educational contexts.
Kok Hwee Chia (Wed,) studied this question.