Fonseca Lineu Corrêa, Tedrus Glória Maria A S, Pacheco Elisabeth Marinelli de Camargo, Berretta Marcela Fernanda, Campregher Amanda Augusta, Costa Débora Macedo
Pontifícia Universidade Católica de Campinas, Rua Sebastião de Souza 205/122, 13013-910 Campinas, SP, Brazil.
Arq Neuropsiquiatr. 2007 Sep;65(3A):569-75. doi: 10.1590/s0004-282x2007000400004.
Benign childhood epilepsy with centro-temporal spikes (BECTS) is a form of epilepsy with no demonstrable anatomical lesion showing spontaneous seizure remission. During the active phase of the disease the children may show cognitive deficits. The objective of this study was to assess, in children with BECTS, the relationship between clinical-EEG aspects and performance in the school performance test (SPT), Raven's progressive matrixes test and the Wechsler Intelligence Scale for Children (WISC-III). Forty-two 7 to 11 year old children were included and the following tests carried out: anamnesis, neurological examination, electroencephalogram (EEG), SPT, Raven's test and WISC-III. The children with BECTS had normal IQ values but showed inferior performance in the SPT more frequently than "healthy" children, paired with respect to age and maternal scholastic level. There was moderate positive correlation between WISC-III results and the age when the seizures started and the educational level of the parents. On the other hand, aspects linked to the epileptic nature of BECTS, such as the number of seizures, time since last seizure and the number and lateralization of the centro-temporal spikes on the EEG, showed no correlation with the neuropsychological tests.
儿童良性中央颞区棘波癫痫（BECTS）是一种癫痫形式，无明显解剖学病变，癫痫发作可自发缓解。在疾病活动期，儿童可能出现认知缺陷。本研究的目的是评估BECTS患儿的临床脑电图特征与学校成绩测试（SPT）、瑞文渐进性矩阵测验以及韦氏儿童智力量表（WISC - III）成绩之间的关系。纳入了42名7至11岁的儿童，并进行了以下测试：问诊、神经学检查、脑电图（EEG）、SPT、瑞文测验和WISC - III。BECTS患儿的智商值正常，但与年龄和母亲学业水平相匹配的“健康”儿童相比，他们在SPT中的表现更差。WISC - III结果与癫痫发作开始的年龄以及父母的教育水平之间存在中度正相关。另一方面，与BECTS癫痫性质相关的因素，如癫痫发作次数、上次癫痫发作后的时间以及脑电图上中央颞区棘波的数量和定位，与神经心理学测试无关。
