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伴有中央颞区棘波的儿童良性癫痫(BECTS)患儿的认知功能

Cognitive functions in children with benign childhood epilepsy with centrotemporal spikes (BECTS).

作者信息

Pinton Florence, Ducot Béatrice, Motte Jacques, Arbuès Anne-Sophie, Barondiot Catherine, Barthez Marie-Anne, Chaix Yves, Cheminal Renée, Livet Marie-Odile, Penniello Marie-José, Peudenier Sylviane, de Saint-Martin Anne, Billard Catherine

机构信息

Rééducation Neurologique Infantile, Hôpital Bicêtre, Paris.

出版信息

Epileptic Disord. 2006 Mar;8(1):11-23.

PMID:16567321
Abstract

Benign childhood epilepsy with centrotemporal spikes (BECTS) is regarded as a benign form of epilepsy because of its usually favorable outcome, in terms of seizures. Eighteen children with BECTS were studied in terms of neuropsychological and learning abilities: intellectual quotient, oral language (phonological production, naming skills, verbal fluency and syntactic comprehension), drawing and visuo-spatial skills, visual and selective attention, verbal and visuo-spatial memory, reading, numeracy and spelling. The mean IQ of the population was within the normal range, but individual results were heterogeneous. Verbal functions and memory were normal. In contrast, drawing and visuo-spatial skills, attention and visuo-spatial memory were significantly weak compared to the normal range for age. Reading, numeracy and/or spelling ability were significantly delayed by one academic year or more in ten of the children. In conclusion, despite its benign outcome in terms of epilepsy, BECTS can be accompanied by specific cognitive disorders and low academic achievement.

摘要

具有中央颞区棘波的儿童良性癫痫(BECTS)因其在癫痫发作方面通常具有良好的预后,被视为一种良性癫痫形式。对18名患有BECTS的儿童进行了神经心理学和学习能力方面的研究:智商、口语(语音生成、命名技能、语言流畅性和句法理解)、绘画和视觉空间技能、视觉和选择性注意力、言语和视觉空间记忆、阅读、算术和拼写。总体人群的平均智商在正常范围内,但个体结果存在异质性。言语功能和记忆正常。相比之下,与年龄正常范围相比,绘画和视觉空间技能、注意力和视觉空间记忆明显较弱。10名儿童的阅读、算术和/或拼写能力明显延迟了一个学年或更长时间。总之,尽管BECTS在癫痫方面预后良好,但可能伴有特定的认知障碍和学业成绩低下。

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