探索语言障碍,中央听觉处理障碍,神经精神功能和自限性的儿童中发作时间的相关性
Oğuzhan Tin1, Sema Saltık2, Halide Çetin Kara3
1Department of Pediatrics, Cerrahpasa Medicine Faculty, Istanbul University-Cerrahpasa, Istanbul, Turkey.
Journal of child neurology
|December 16, 2024
概括
患有自限性的儿童中尖往往会遇到中央听觉处理困难. 那些在睡眠后发作的人也可能面临表达性语言挑战和行为问题.
科学领域:
- 神经科学是一个神经科学.
- 儿科神经学 儿科神经学
- 发展心理学 发展心理学
背景情况:
- 带有中尖的自我限制性 (SeLECTS) 经常与语言障碍和中央听觉处理困难 (CAPD) 相关.
- 在SELECTS中,CAPD,语言缺陷,发作时间和神经精神病学的结果之间的确切关系仍然不完全理解.
- 这项研究研究了语言,听觉处理,发作和神经心理功能在SELECTS儿童的相互作用.
研究的目的:
- 评估SELECTS. 在儿童中CAPD的患病率.
- 检查发作时间 (睡前和醒后) 对语言能力和神经精神病学特征的影响.
- 在SELECTS中确定发作时间,语言障碍和神经精神病学挑战之间的相关性.
主要方法:
- 根据发作时间,SELECTS的儿童被分为两组:睡前 (组1) 和醒前 (组2).
- 用土耳其语表达性和接受性语言测试 (TIFALDI) 评估语言技能.
- 通过频率模式和持续时间模式测试来评估中央听觉处理能力.
- 神经精神病学评估包括儿童维克斯勒智力表-修订,优点和困难问卷,康纳斯家长评分表-修订简短,和巴拉特冲动性表-11.
主要成果:
- 与对照组相比,这两个Selects组在听觉处理测试中的表现明显较差 (P < .001).
- 第1组 (睡前发作) 在表达性语言得分 (P = .04) 中出现显著的缺陷,并在行为困难和冲动性指标上显示出更高的得分.
- 在第2组 (唤醒前发作) 和对照组之间,没有发现受ceptive语言或整体TIFALDI得分的显著差异.
结论:
- 患有SELECTS的儿童,无论发作时间如何,都显示出CAPD的高患病率.
- 在SELECTS中,睡前发作与表达性语言困难,增加的行为问题和增加的冲动性有关.
- 这些发现凸显了SELECTS对神经发育的复杂影响,强调了针对听觉和语言处理以及行为支持的有针对性的干预措施的必要性.
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Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
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