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Published on: December 7, 2018
[Comorbid cognitive impairments in children with nocturnal enuresis and their treatment]
L S Chutko1, S Yu Surushkina1, E A Yakovenko1
1Bekhtereva Institute of Human Brain, Russian Academy of Sciences, St. Petersburg, Russia.
Insights
Children with enuresis exhibit cognitive deficits in memory and attention. Cerebrolysin treatment significantly improved these functions in 80% of pediatric patients, demonstrating high efficacy and safety.
Area of Science:
- Pediatric Neurology
- Neuropsychology
Background:
- Children with enuresis often present with comorbid cognitive impairments.
- Understanding these deficits is crucial for effective treatment strategies.
Purpose of the Study:
- To investigate cognitive impairments in children with enuresis.
- To evaluate the efficacy and safety of cerebrolysin for treating these comorbid conditions.
Main Methods:
- Seventy children (7-10 years) with primary monosymptomatic enuresis were assessed.
- Neuropsychological tests evaluated auditory-verbal and visual memory, inattention, and impulsivity.
- Electroencephalography (EEG) was utilized to examine brain activity.
Main Results:
- Enuretic children showed poorer performance in memory and attention tasks compared to controls.
- EEG revealed activation deficits and synchronized thalamic activity.
- Cerebrolysin treatment resulted in improvement in 80% of the patients.
Conclusions:
- Cognitive impairments, including memory and attention deficits, are prevalent in children with enuresis.
- Cerebrolysin demonstrates high efficacy and safety in addressing these comorbid cognitive issues.
Aim:
To study comorbid cognitive impairments in children with enuresis and assess the efficacy and safety of cerebrolysin in treatment of comorbid pathology.
Material And Methods:
Seventy patients, aged from 7 to 10 years, with the primary monosymtomatic form of enuresis were examined. Enuresis was assessed by the mean number of 'wet' nights per week. Neuropsychological tests were administered to measure short-term auditory-verbal and visual memory as well as SNAP-1V inattention and TOVA impulsivity. Electroencephalography was used as well.
Results And Conclusion:
Children with enuresis performed lower on auditory-verbal and visual memory and attention tests compared to the patients of the control group. Electroencephalography showed activation deficit and synchronized effects of thalamic structures. The high efficacy of cerebrolysin (the improvement was seen in 80% of the patients) was demonstrated.
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