Camfield P R, Gates R, Ronen G, Camfield C, Ferguson A, MacDonald G W
Ann Neurol. 1984 Feb;15(2):122-6. doi: 10.1002/ana.410150203.
By reviewing electroencephalographic reports compiled over five years and checking clinical details, we identified and studied 27 children with apparently pure left or pure right temporal lobe epilepsy. The children underwent neurological examination and neuropsychological testing (Halstead-Reitan Battery, Wechsler Intelligence Scale for Children [WISC] and Wide Range Achievement Test), and parents completed the Personality Inventory for Children (PIC). Of 15 boys and 12 girls with a mean age of 12.7 years, 14 had right and 13 left temporal lobe epilepsy. Seizure control was excellent in 17. Five (2 with left, 3 with right temporal lobe epilepsy) had received professional emotional help, 6 (3 with left, 3 with right focus) received special help at school, and 5 (3 with left, 2 with right focus) had failed a grade in school. No significant left-right differences were seen in WISC full scale, verbal, or performance IQ scores, neuropsychological test battery findings, or clinical scale scores on the PIC. Most of the children with unilateral temporal lobe epilepsy had no measurable cognitive or emotional difficulties. Cognitive, personality, and school problems were equally distributed between left and right temporal lobe epilepsy groups. When the two groups were combined, however, 10 patients (5 with left, 5 with right focus) were identified by the PIC as maladjusted, and as a group showed significantly lower neuropsychological test functioning than did the normally adjusted children.
通过回顾五年多来汇编的脑电图报告并核对临床细节，我们识别并研究了27名明显患有单纯左侧或单纯右侧颞叶癫痫的儿童。这些儿童接受了神经学检查和神经心理学测试（霍尔斯特德-雷坦神经心理成套测验、韦氏儿童智力量表[WISC]和广泛成就测验），家长完成了儿童个性调查表（PIC）。在15名男孩和12名女孩中，平均年龄为12.7岁，14名患有右侧颞叶癫痫，13名患有左侧颞叶癫痫。17名儿童的癫痫得到了良好控制。5名（2名左侧颞叶癫痫，3名右侧颞叶癫痫）接受过专业情感帮助，6名（3名左侧病灶，3名右侧病灶）在学校接受过特殊帮助，5名（3名左侧病灶，2名右侧病灶）在学校留过级。在WISC全量表、言语或操作智商得分、神经心理测验结果或PIC临床量表得分方面，未发现显著的左右差异。大多数单侧颞叶癫痫儿童没有可测量的认知或情感困难。认知、个性和学校问题在左侧和右侧颞叶癫痫组中分布均匀。然而，当两组合并时，PIC将10名患者（5名左侧病灶，5名右侧病灶）识别为适应不良，并且作为一个群体，他们的神经心理测试功能明显低于正常适应的儿童。
