Temporal lobe epilepsy in childhood: comprehensive neuropsychological assessment.
The neuropsychological features of children with temporal lobe epilepsy are not yet well defined. The aim of this study was to identify the neuropsychological deficits in children with temporal lobe epilepsy. We evaluated 25 patients and compared them with 25 normal children. All children underwent a comprehensive neuropsychological assessment. We found a significant difference in favor of the control group in the following measures: IQ; forward digit; Trail Making Test for Children B; Wisconsin Card Sorting Test; block design; Boston naming test, verbal fluency; and Wide Range Assessment of Memory and Learning verbal learning, visual learning, verbal memory, visual memory, delayed recall of verbal learning, delayed recall of stories, and recognition of stories. Our findings show that children with temporal lobe epilepsy present with several neuropsychological deficits, despite normal IQ. These findings point to a dysfunction of cerebral areas other than temporal lobe, particularly the frontal lobes.
Guimarães
Catarina A
CA
Department of Neurology, State University of Campinas, 13083-970 Campinas, SP, São Paulo.
Li
Li M
LM
Rzezak
Patrícia
P
Fuentes
Daniel
D
Franzon
Renata C
RC
Augusta Montenegro
Maria
M
Cendes
Fernando
F
Thomé-Souza
Sigride
S
Valente
Kette
K
Guerreiro
Marilisa M
MM
D000293:Adolescent; D001288:Attention / Q000502:physiology*; D016022:Case-Control Studies; D002648:Child; D002657:Child Development / Q000502:physiology*; D003071:Cognition / Q000502:physiology*; D004833:Epilepsy, Temporal Lobe / Q000175:diagnosis* / Q000503:physiopathology; D005260:Female; D006801:Humans; D007360:Intelligence; D008297:Male; D016555:Matched-Pair Analysis; D008568:Memory / Q000502:physiology; D009483:Neuropsychological Tests; D011340:Problem Solving / Q000502:physiology; D014705:Verbal Behavior / Q000502:physiology*; D014796:Visual Perception / Q000502:physiology