Kirby Amanda, Williams Natalie, Koelewijn Loes, Brindley Lisa M, Muthukumaraswamy Suresh D, Te Water Naudé Johann, Thomas Marie, Gibbon Frances, Singh Krish D, Hamandi Khalid
Dyscovery Centre, University of South Wales, Newport, UK.
CUBRIC, School of Psychology, Cardiff University, Cardiff, UK.
Epilepsy Behav. 2017 Jul;72:122-126. doi: 10.1016/j.yebeh.2017.04.014. Epub 2017 Jun 7.
Benign epilepsy with centro-temporal spikes (BECTS) is a common childhood epilepsy syndrome also known as Rolandic Epilepsy (RE). Neurocognitive phenotypes have been described with greater focus on attention, reading and language domains but there have been far fewer studies focusing on motor functioning. This study included measures of motor, language and cognition in order to investigate the range, degree and pattern of difficulties associated with BECTS in a case series of children, but with a particular emphasis on motor skills.
Twenty-one children aged between 8 and 16years with a diagnosis of BECTS were asked to complete standardized assessments for language, cognition, motor functioning and handwriting.
When measuring across language, cognitive and motor domains, 19 (90.48%) of the twenty-one children with a diagnosis of BECTS showed some difficulties on at least one area of functioning using standardized assessment tests. Of particular note nearly half (47.62%) of the children had some difficulties in one or more areas of motor functioning.
Children with BECTS have a heterogeneous pattern of neurocognitive impairments. The presence of motor difficulties (DCD) should be considered in all children routinely seen in clinical settings with BECTS and included in any screening processes.
伴有中央颞区棘波的儿童良性癫痫（BECTS）是一种常见的儿童癫痫综合征，也被称为罗兰多癫痫（RE）。神经认知表型已有相关描述，更多聚焦于注意力、阅读和语言领域，但关注运动功能的研究要少得多。本研究纳入了运动、语言和认知方面的测量，以调查一系列儿童中与BECTS相关的困难范围、程度和模式，尤其着重于运动技能。
21名年龄在8至16岁之间、被诊断为BECTS的儿童被要求完成语言、认知、运动功能和书写方面的标准化评估。
在对语言、认知和运动领域进行测量时，21名被诊断为BECTS的儿童中有19名（90.48%）在使用标准化评估测试时，至少在一个功能领域表现出一些困难。特别值得注意的是，近一半（47.62%）的儿童在一个或多个运动功能领域存在一些困难。
BECTS患儿存在异质性的神经认知障碍模式。对于临床环境中常规诊治的所有BECTS患儿，都应考虑其是否存在运动困难（发育性协调障碍），并将其纳入任何筛查流程。
