Nenadović Vanja, Stokić Miodrag, Vuković Mile, Đoković Sanja, Subotić Miško
a Institute for Experimental Phonetics and Speech Pathology , Belgrade , Serbia.
J Clin Exp Neuropsychol. 2014;36(9):981-91. doi: 10.1080/13803395.2014.958438. Epub 2014 Sep 29.
The current study is a preliminary examination of cognitive profiles and cortical distribution of the spectral power of different electroencephalogram (EEG) rhythms in children with specific language impairment and subclinical epileptiform discharges. Although a number of empirical studies point to higher incidence of abnormal EEGs in children with specific language impairment, only a few studies were found examining electrophysiological characteristics, such as locus of discharges and connections with cognitive functioning in this population of children. The sample included 12 children with specific language impairment (SLI) and abnormal EEG who underwent testing of cognitive functioning using the Wechsler Intelligence Scale for Children (WISC). The control sample included 13 children with specific language impairment and regular EEG. Results point to lower scores on several subtests of the performance scale for children with abnormal EEG than for the group with regular EEG. Detailed EEG analysis of cortical distribution of the spectral power of different EEG rhythms partially confirms the results of neuropsychological assessment, pointing to abnormal function of frontal and temporal regions. Higher values of spectral power of the delta brain rhythm in frontal regions are associated with lower results on the WISC performance scale. Results are discussed in the context of subgroups of the population of children with SLI.
本研究初步考察了特定语言障碍且伴有亚临床癫痫样放电儿童的认知概况以及不同脑电图(EEG)节律的频谱功率在大脑皮层的分布情况。尽管许多实证研究指出特定语言障碍儿童脑电图异常的发生率较高,但在这一儿童群体中,仅有少数研究对电生理特征(如放电位点以及与认知功能的关联)进行了考察。样本包括12名患有特定语言障碍(SLI)且脑电图异常的儿童,他们使用韦氏儿童智力量表(WISC)接受了认知功能测试。对照样本包括13名患有特定语言障碍且脑电图正常的儿童。结果表明,脑电图异常儿童在操作量表的几个子测验中的得分低于脑电图正常组。对不同EEG节律频谱功率在大脑皮层分布的详细脑电图分析部分证实了神经心理学评估的结果,表明额叶和颞叶区域功能异常。额叶区域δ脑节律的频谱功率较高值与WISC操作量表得分较低相关。研究结果在特定语言障碍儿童群体亚组的背景下进行了讨论。