Tedrus Glória M A S, Fonseca Lineu C, Castilho Dioraci P, Pacheco Elizabeth M C, Campregher Amanda A, Bittar Marina C
Pontifícia Universidade Católica de Campinas, Campinas, SP, Brazil.
Arq Neuropsiquiatr. 2010 Aug;68(4):550-5. doi: 10.1590/s0004-282x2010000400014.
Thirty-two children with benign childhood epilepsy with centrotemporal spikes (BECTS) were studied for a mean period of 27.6 months. The characteristics of the seizures, electroencephalogram (EEG), WISC-III and School Performance Test were compared at the start and end of the study. Nine (28.1%) children continued having seizures. Epileptiform activity (EA) on the EEG reduced in number and was no longer recorded in 6 (18.7%) children. There was a significant improvement in the performance and perceptual organization IQ values. The improvement in reading performance failed to reach statistical significance. The performance in arithmetic worsened in 43.7% of the children, and this was associated with the persistence of epileptic seizures. There were no significant correlations between changes in cognitive aspects and characteristics of EA. There is a need to continue this study, and also search for other factors influencing the evolution of cognitive abilities in children with BECTS.
对32名患有中央颞区棘波的儿童良性癫痫（BECTS）的患儿进行了平均为期27.6个月的研究。在研究开始和结束时，对癫痫发作的特征、脑电图（EEG）、韦氏儿童智力量表第三版（WISC - III）和学业成绩测试进行了比较。9名（28.1%）儿童继续有癫痫发作。脑电图上的癫痫样活动（EA）数量减少，6名（18.7%）儿童不再记录到该活动。在表现和感知组织智商值方面有显著改善。阅读成绩的提高未达到统计学意义。43.7%的儿童算术成绩恶化，这与癫痫发作的持续存在有关。认知方面的变化与EA的特征之间没有显著相关性。有必要继续这项研究，同时寻找影响BECTS患儿认知能力发展的其他因素。
