[Cognitive disturbances in rolandic epilepsy--correlation with electoencephalographic patterns]
Janusz Wendorff1, Jarosława Przygocka, Barbara Juchniewicz
1Klinika Neurologii Dzieciecej, Uniwersytetu Medycznego w łodzi, Instytut Centrum Zdrowia Matki Polki. janusz_wendorff@poczta.fm
Insights
Children with rolandic epilepsy (RE) show no general intelligence quotient deficits but have specific issues with auditory memory and logical thinking. Atypical EEG patterns in RE indicate a higher risk for cognitive and behavioral challenges.
Area of Science:
- Neuroscience
- Pediatric Neurology
- Developmental Psychology
Background:
- Rolandic epilepsy (RE) is common in children, with ongoing debate regarding cognitive deficits.
- Previous studies have suggested potential cognitive impairments in children with RE.
Purpose of the Study:
- To compare general intelligence and specific cognitive functions in children with RE versus healthy controls.
- To investigate the correlation between EEG patterns and cognitive function in children with RE.
Main Methods:
- A cohort of 38 children with RE and 15 age-matched controls were assessed.
- Cognitive functions were evaluated using WISC, Benton, Raven's, and Bender tests.
- Standard 16-channel EEG was performed, with analysis of typical versus atypical patterns.
Main Results:
- No significant differences in overall IQ were found between children with RE and controls.
- Children with RE exhibited deficits in auditory memory (p<0.01) and logical thinking (p<0.05).
- Children with RE and atypical EEG patterns showed lower full/non-verbal scores (p<0.05), analytic-synthetic thinking deficits, and hyperactivity (p<0.05).
Conclusions:
- While general IQ is unaffected, specific cognitive deficits in auditory memory and logical thinking are present in children with RE.
- Atypical EEG findings in RE identify a risk group for lower cognitive scores and hyperactivity.
Background:
Up till now there have been many discussions in the epileptological literature concerning the occurrence of cognitive deficits in children with rolandic epilepsy (RE).
The Aim Of Study:
The aim of this study is to establish whether there exist any differences in general intelligence quotient or in particular cognitive functions in children with RE as compared to healthy children in the same age and if a correlation can be found between EEG and cognitive function in RE.
Material And Methods:
The material comprised two groups: 38 children with RE (1-2 years after diagnosis establishing) and 15 children of the same age and sex - the control group. The study group was then subdivided into: 26 children with typical EEG patterns and 12 with atypical EEG acc. to Dalla Bernardina. The results of WICS, Benton, Raven's test, Bender-Koppitz and Bender-Gestalt test and 16-canal standard wake and sleep EEG were taken into account. Statistical analysis included: Student-test and Fisher exact test.
Results:
IQ of children with RE in all types of scores (full, verbal or non-verbal) did not differ from the control group. Some differences in particular cognitive functions were found: auditory memory (p<0.01), logical thinking (p<0.05). In the group of children with RE and atypical EEG pattern the full and non-verbal score was lower (p< 0.05) and we found in these children statistically significant deficit in analytic-synthetic thinking based on concrete material and hyperactivity (p< 0.05).
Conclusions:
In spite of no difference in general IQ among children with RE and the control group, there are some cognitive deficits in this epilepsy particularly concerning auditory memory and logical thinking. The children with atypical changes in EEG are the risk group of lower full and nonverbal score analytic-synthetic thinking based on concrete material and hyperactivity.
Related Concept Videos
Seizures: Classification
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Focal Seizures
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Seizures l: Introduction
Seizures ll: Types


