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额叶癫痫患儿的注意力、记忆力及行为调节

Attention, memory, and behavioral adjustment in children with frontal lobe epilepsy.

作者信息

Hernandez Maria-Teresa, Sauerwein Hannelore C, Jambaqué Isabelle, de Guise Elaine, Lussier Francine, Lortie Anne, Dulac Olivier, Lassonde Maryse

机构信息

Groupe de Recherche en Neuropsychologie Expérimentale et Cognition, Département de Psychologie, Université de Montréal, CP 6128, Succ Centre-Ville, Qué, H3C 3J7, Montréal, Canada.

出版信息

Epilepsy Behav. 2003 Oct;4(5):522-36. doi: 10.1016/j.yebeh.2003.07.014.

Abstract

To explore whether attention, memory, and behavior would be more affected in children with frontal lobe epilepsy than in children with other types of epilepsy, we compared 16 children with frontal lobe epilepsy (FLE), 8 with temporal lobe epilepsy (TLE), and 8 with generalized absence (GEA) seizures on the Performance Speed (PS) and Freedom of Distraction (FD) indices of the WISC-III, the Continuous Performance Test (CPT), the California Verbal Learning Test (CVLT), and Rey-Osterrieth Complex Figure (ROCF). Parents completed Achenbach's Child Behavior Check List. Children with FLE scored significantly lower than the other two groups on the PS and CPT. On the CVLT they made more intrusion errors and were more prone to interference. Furthermore, they had more difficulties copying and recalling the ROCF. Behavior profiles revealed greater attention problems in this group. This may put children with FLE at greater risk of developing school problems than children with TLE and GEA.

摘要

为探究额叶癫痫患儿的注意力、记忆力和行为是否比其他类型癫痫患儿受到的影响更大,我们对16名额叶癫痫(FLE)患儿、8名颞叶癫痫(TLE)患儿和8名全身性失神(GEA)发作患儿进行了韦氏儿童智力量表第三版(WISC - III)的操作速度(PS)和注意力分散度(FD)指数测试、持续性操作测验(CPT)、加利福尼亚言语学习测验(CVLT)以及雷 - 奥斯特里茨复杂图形测验(ROCF)。家长们完成了阿肯巴克儿童行为检查表。FLE患儿在PS和CPT测试中的得分显著低于其他两组。在CVLT测试中,他们出现了更多的侵入性错误,更容易受到干扰。此外,他们在复制和回忆ROCF图形时遇到了更多困难。行为特征显示该组存在更严重的注意力问题。与TLE和GEA患儿相比,这可能使FLE患儿出现学习问题的风险更高。

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