对一组特发性癫痫儿童和青少年样本进行执行功能的临床和神经心理学评估。
Clinical and neuropsychological assessment of executive function in a sample of children and adolescents with idiopathic epilepsy.
作者信息
Lima Andrea Bandeira de, Moreira Fernanda, Gomes Marleide da Mota, Maia-Filho Heber
机构信息
Departamento de Psiquiatria, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Departamento de Neurologia, Universidade Federal Fluminense, Niterói, RJ, Brazil.
出版信息
Arq Neuropsiquiatr. 2014 Dec;72(12):954-9. doi: 10.1590/0004-282X20140191.
OBJECTIVE
To compare the executive functions of children and adolescents with idiopathic epilepsy with a control group and to correlate with clinical data, intelligence and academic performance.
METHOD
Cross-sectional, descriptive and analytical study. Thirty-one cases and thirty-five controls were evaluated by the WCST (Wisconsin Card Sorting Test).The results were compared with clinical data (seizure type and frequency, disease duration and number of antiepileptic drugs used), IQ (WISC-III) and academic performance (APT).
RESULTS
Patients with epilepsy had poorer executive function scores. There was no positive linear correlation between test scores and epilepsy variables. There was a positive association between academic performance and some executive function results.
CONCLUSION
Children with well controlled idiopathic epilepsy may show deficits in executive functions in spite of clinical variables. Those deficits may influence academic performance.
目的
比较特发性癫痫儿童和青少年与对照组的执行功能，并将其与临床数据、智力和学业成绩相关联。
方法
横断面、描述性和分析性研究。通过威斯康星卡片分类测验（WCST）对31例病例和35名对照进行评估。将结果与临床数据（癫痫发作类型和频率、病程和使用的抗癫痫药物数量）、智商（韦氏儿童智力量表第三版，WISC-III）和学业成绩（学业成绩测试，APT）进行比较。
结果
癫痫患者的执行功能得分较差。测试分数与癫痫变量之间无正线性相关性。学业成绩与某些执行功能结果之间存在正相关。
结论
尽管有临床变量，但特发性癫痫得到良好控制的儿童可能存在执行功能缺陷。这些缺陷可能会影响学业成绩。
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