Narita Yuri, Hamano Shin-ichiro, Kuroda Mai, Kawachi Juro
Division of Psychology, Center for Child Health and Human Development Saitama Children's Medical Center, Saitama.
No To Hattatsu. 2006 May;38(3):201-4.
We studied thirty-one children with hemiplegia to elucidate the relationship of intelligence, the laterality of a lesion, and epilepsy, in these children. We investigated the influences of the age at the onset of the seizures, the number of anti-convulsants, and the duration of medication, on the DQ/FIQ. The results indicated a significantly higher DQ/FIQ and VIQ for right hemiplegic children than for left hemiplegic children. But the PIQ of the patients with either a left or right hemiplegia was not significantly different. A significantly higher DQ/FIQ, VIQ, and PIQ was also revealed for the children without epilepsy. In addition, there was also a tendency that the DQ/FIQ of children who suffered from epilepsy before the age of one year was lower than that of children who suffered from epilepsy after the age of one year. The present results provide evidence which supports the crowding hypothesis.
我们研究了31名偏瘫儿童，以阐明这些儿童的智力、病变侧别和癫痫之间的关系。我们调查了癫痫发作起始年龄、抗惊厥药物数量和用药持续时间对发育商/智商（DQ/FIQ）的影响。结果表明，右侧偏瘫儿童的DQ/FIQ和言语智商（VIQ）显著高于左侧偏瘫儿童。但左侧或右侧偏瘫患者的操作智商（PIQ）没有显著差异。无癫痫儿童的DQ/FIQ、VIQ和PIQ也显著更高。此外，还有一种趋势，即1岁前患癫痫的儿童的DQ/FIQ低于1岁后患癫痫的儿童。目前的结果提供了支持拥挤假说的证据。
