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[Features of the course of temporal-lobe epilepsy in children]
Insights
This study examines temporal epilepsy in children, revealing its origins in factors like infections and trauma. Neuropsychological and brain imaging findings highlight associated cognitive and structural changes in pediatric patients.
Area of Science:
- Neurology
- Pediatric Neurology
- Epileptology
Context:
- Temporal epilepsy is a significant neurological disorder in children.
- Understanding its etiology and manifestations is crucial for effective management.
- This study focuses on a cohort of pediatric patients aged 7-15 years.
Purpose:
- To investigate the clinical and electrophysiological characteristics of temporal epilepsy in children.
- To explore the etiological factors contributing to temporal epilepsy.
- To assess neuropsychological profiles and brain imaging findings in affected children.
Summary:
- Forty-nine pediatric patients with temporal epilepsy underwent clinical and electrophysiological assessments.
- Etiological factors identified include neuroinfections, craniocerebral trauma, perinatal pathology, and genetic predisposition.
- Neuropsychological evaluations revealed disorders in 27 children, while brain imaging (CT) in 14 identified structural changes such as gliosis and atrophy.
Impact:
- Provides detailed insights into the genesis and progression of childhood temporal epilepsy.
- Highlights the prevalence of neuropsychic disorders and structural brain abnormalities in pediatric cases.
- Informs clinical practice and future research directions for temporal epilepsy management in children.
Abstract:
Forty-nine patients (aged 7-15 years) with temporal epilepsy were examined using clinical and electrophysiological methods; 27 children were also subjected to psychological examination and 14 of them to computerized tomography of the brain. Characteristics of temporal paroxysms and correlation between the course of epilepsy and its duration and progression are described in detail. It was shown that neuroinfections, craniocerebral traumas, perinatal pathology of the nervous system and genetic predisposition play a certain role in the genesis of temporal epilepsy. Psychological examination of patients with temporal epilepsy revealed various disorders of neuropsychic processes in 27 children. In 5 cases computer-aided tomography of the brain revealed various changes including petrifacates, cysts, foci of gliosis with partial brain atrophy and deformation of the lateral ventricles.