Oliveira Ecila Paula dos Mesquita de, Neri Marina Liberalesso, Medeiros Lívia Lucena de, Guimarães Catarina Abraão, Guerreiro Marilisa Mantovani
Departamento de Neurologia, Faculdade de Ciências Mêdicas, Universidade Estadual de Campinas, Brazil.
Pro Fono. 2010 Jul-Sep;22(3):209-14. doi: 10.1590/s0104-56872010000300009.
Rolandic Epilepsy is the most common form of childhood epilepsy. It is classified as idiopathic, age-related epileptic syndrome with benign evolution. The absence of neuropsychological impairment is part of the criteria of benignity of this epilepsy syndrome. Recently, however, several deficits related to attention and language have been suggested.
to assess school performance and to investigate praxis problems in patients with rolandic epilepsy in comparison to a control group of normal children, paired by age, gender and educational level.
nineteen patients aged between 7 and 12 years underwent clinical neurological evaluation, psychological assessment, through the Weschsler Scales of Intelligence, and language evaluation, to assess the academic performance and to investigate the presence or absence of praxis difficulties.
the obtained data indicate that although intellectual efficiency (measured through the Intelligence Quatient - IQ) was within average, children with rolandic epilepsy presented a significantly poorer performance when compared to the control group in tests involving writing, arithmetic and reading. Another important aspect was the absence of orofacial apraxia in children with epilepsy.
the results of the study suggest that the assessment of children with epilepsy is necessary to investigate specific deficits that require appropriate professional assistance. Regarding the presence of oral language and/or writing disorders in these children, academic, social and emotional deficits can be avoided. The prognosis of epileptic syndrome does not exclusively depend on the control of the crises, since social or cultural problems can interfere in life quality as much as the crisis.
罗兰多癫痫是儿童癫痫最常见的形式。它被归类为具有良性病程的特发性、年龄相关性癫痫综合征。无神经心理损害是该癫痫综合征良性标准的一部分。然而，最近有人提出了一些与注意力和语言相关的缺陷。
与一组按年龄、性别和教育水平配对的正常儿童对照组相比，评估罗兰多癫痫患者的学业成绩并调查其运用障碍问题。
19名年龄在7至12岁之间的患者接受了临床神经学评估、通过韦氏智力量表进行的心理评估以及语言评估，以评估学业成绩并调查是否存在运用困难。
获得的数据表明，尽管智力效率（通过智商衡量）处于平均水平，但罗兰多癫痫患儿在涉及写作、算术和阅读的测试中与对照组相比表现明显较差。另一个重要方面是癫痫患儿不存在口面部失用症。
研究结果表明，对癫痫患儿进行评估对于调查需要适当专业帮助的特定缺陷是必要的。鉴于这些儿童存在口语和/或写作障碍，可以避免学业、社交和情感方面的缺陷。癫痫综合征的预后并不完全取决于发作的控制，因为社会或文化问题对生活质量的影响与发作一样大。
