Oral language disorders in preschool children with epilepsy: a speech-language screening

Patrícia Danielle Falcão Melo1, Aurea Nogueira de Melo, Eulália Maria Chaves Maia

  • 1Programa de Pós-Graduação em Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Parnamirim - RN, Brazil. patriciamelo77@gmail.com

Insights

Children with epilepsy often experience oral language delays, with boys and those having partial seizures being at higher risk. This study highlights the prevalence of these disorders in young epileptic patients.

Area of Science:

  • Pediatric Neurology
  • Speech-Language Pathology
  • Developmental Pediatrics

Background:

  • Epilepsy is a common neurological condition in childhood.
  • Oral language disorders can significantly impact a child's development and academic success.
  • The co-occurrence of epilepsy and oral language disorders in preschoolers warrants further investigation.

Purpose of the Study:

  • To determine the frequency of oral language disorders in preschool-aged children diagnosed with epilepsy.
  • To identify potential risk factors associated with oral language disorders in this population.

Main Methods:

  • A prospective study involving 30 preschool children with epilepsy was conducted.
  • Participants underwent comprehensive oral speech-language evaluations.
  • Inclusion criteria specified explicit epilepsy diagnosis (ILAE 2005), age 3-6 years, and normal development.

Main Results:

  • 60% of epileptic preschoolers (18 out of 30) exhibited oral language disorders.
  • Among those with disorders, 67% had general language impairments and 33% had phonological disorders.
  • Male gender (OR=2.03) and partial seizures (OR=2.41) were identified as significant risk factors.

Conclusions:

  • Preschoolers with epilepsy demonstrate a high prevalence of delayed oral language development.
  • Male gender and partial seizures are significant risk factors for oral language disorders in epileptic preschoolers.
  • Early identification and intervention are crucial for managing language development in this vulnerable group.
Abstract

Related Concept Videos

Learning Disabilities01:25

Learning Disabilities

Learning disabilities are cognitive disorders caused by neurological impairments that affect cognitive functions like language and reading, without indicating overall intellectual or developmental challenges. These disabilities differ from global intellectual or developmental disabilities as they are limited to distinct cognitive functions. Common learning disabilities include dysgraphia, dyslexia, and dyscalculia, each of which impacts unique aspects of learning.
Dyslexia
Dyslexia is a...
Epilepsy ll: Types01:22

Epilepsy ll: Types

Recurrent seizures, stemming from abnormal electrical activity in the brain, are the defining characteristic of epilepsy, a chronic neurological condition. Because seizure features vary greatly, epilepsy is classified using two systems: by seizure type and by epilepsy syndromes. These classifications enable clinicians to describe seizure patterns and select suitable treatment strategies.I. Classification by Seizure Type1. Focal EpilepsyFocal epilepsy begins in one hemisphere of the brain.
Epilepsy and Seizures: Overview01:24

Epilepsy and Seizures: Overview

Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
Seizures: Classification01:13

Seizures: Classification

Epilepsy is primarily characterized by unpredictable seizures, either provoked by an identifiable factor, such as injury or illness, or unprovoked, occurring spontaneously without apparent cause.
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
Seizures l: Introduction01:20

Seizures l: Introduction

Understanding seizures and epilepsy relies on key definitions that help in recognizing, classifying, and managing these disorders. These definitions provide a framework for recognizing, classifying, and managing seizure disorders.DefinitionsA seizure is a sudden, abnormal burst of electrical activity in the brain that can cause changes in awareness, movement, sensation, or behavior, depending on the area involved. Epilepsy is a chronic condition characterized by recurrent, unprovoked seizures,...
Language Development01:22

Language Development

Children master language quickly and with relative ease, supported by both biological predisposition and reinforcement. B. F. Skinner (1957) proposed that language is learned through reinforcement, while Noam Chomsky (1965) argued that language acquisition mechanisms are biologically determined.
The critical period for language acquisition suggests that the ability to acquire language is at its peak early in life. As people age, this proficiency decreases. Language development begins very...