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Regular Article| Volume 8, ISSUE 4, P246-249, June 1999

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Benign rolandic epilepsy: neuropsychological findings

Open ArchiveDOI:https://doi.org/10.1053/seiz.1999.0293
Benign rolandic epilepsy: neuropsychological findings
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      Abstract

      Benign rolandic epilepsy (BRE) is a partial idiopathic epilepsy of childhood presenting with a nocturnal seizure and with a typical EEG showing centrotemporal spike and multifocal or generalized sharp slow waves. Although normal neurological and intellectual development are expected in BRE, it is not infrequent to detect subtle defects in neuropsychological functions and neuromotor development. This study included 20 cases of BRE diagnosed according to the criteria of ILAE. The patients underwent several tests of neuropsychological functions as well as detailed neurological examination and the results were compared statistically to normal controls. In the patient group, a family history of language delay or learning disability (P< 0.005), presence of consanguinity (P< 0.05), dyspraxia in the lower extremities (to imitation) (P< 0.05), difficulties in go-no-go test (P< 0.001), as well as some problems related to language such as dysprosody (P= 0.05), minor motor deficits in the left (P< 0.05) and right upper extremity (P< 0.05) were significantly more frequent compared to the control group. One should be rather guarded against the prognosis in BRE with respect to the higher cortical functions and neurodevelopmental problems.

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      References

      References

        • Aicardi J.
        Benign partial epilepsy of childhood.
        in: Aicardi J. Epilepsy of Children. 2ndEdition. Raven Press, New York1994: 139-145
        • Dalla Bernardina B.
        • Sgro V.
        • Fontana E.
        • Colamaria V.
        • La Selva L.
        Idiopathic partial epilepsies in children.
        in: Roger J. Bureau M. Dravet C. Dreifuss F.E. Perret A. Wolf P. Epileptic Syndromes in Infancy, Childhood and Adolescence. John Libbey, London1992: 173-188
        • Deonna T.
        • Roulet E.
        Acquired epileptic aphasia.
        in: Beaumanoir A. Bureau M. Deonna T. Mira L. Tassinari C.A. Continuous Spikes and Waves during Slow Sleep. John Libbey, London1995: 37-45
        • Selbeck G.G.
        Treatment of benign partial epilepsies of childhood, including atypical forms.
        Neuropediatrics. 1995; 26: 45-50
        • Wirrell E.C.
        • Camfield P.R.
        • Gordon K.E.
        • Dooley J.M.
        • Camfield C.S.
        Benign rolandic epilepsy: atypical features are very common.
        Journal of Child Neurology. 1995; 10: 455-458
      6. Epilepsia. 1989; 30: 389-399
        • Denckla M.B.
        • Roeltgen D.P.
        Disorders of motor function and control.
        in: Segalowitz Rapin Handbook of Neuropsychology, Vol. 6. Elsevier, Amsterdam1992: 455-477
        • Touwen B.C.
        Examination of the Child with Minor Neurological Dysfunction. 2ndEdition. Spastics International Medical Publications, Oxford1979 (p. 125–137)
        • Brown J.W.
        • Aphasia
        Apraxia and Agnosia. Clinical and Theoretical Aspects. 3rdEdition. Charles C. Thomas, Springfield1979 (p. 57–159)
        • Lerman P.
        • Kivity-Ephram S.
        Focal epileptic EEG discharges in children not suffering from clinical epilepsy: etiology, clinical significance and management.
        Epilepsia. 1981; 22: 551-558
        • Cattell P.
        The Measurement of Intelligence in Infants and Young Children. The Psychological Corporation, Harcourt Brace Jovanovich, New York1960
        • Wechsler D.
        Wechsler Intelligence Scale for Children Revised—Manual. The Psychological Corporation, Harcourt Brace Jovanovich, New York1974
        • Griffiths R.
        The Abilities of Babies. University of London Press, London1954
        • Rosvold H.E.
        • Mirsky A.F.
        • Sarason I.
        • Bransome E.D.
        • Beck L.H.
        A continuous performance test for brain damage.
        Journal of Consulting Psychology. 1956; 20: 343-350
        • Spreen O.
        • Strauss E.
        A Compendium of Neuropsychological Tests. Oxford University Press, Oxford1998 (p. 219–227)
        • Trommer B.L.
        • Hoeggner J.B.
        • Zecker S.G.
        The go-no-go test in attention deficit hyperactivity disorder is sensitive to methylphenidate.
        Journal of Child Neurology. 1991; 6 (Suppl. 1): S128
        • Luria A.R.
        Two kinds of motor perservation in massive injury of the frontal lobes.
        Brain. 1965; 88, Part 1: 1-12
        • Raven J.C.
        Colored Progressive Matrices Sets A, Ab, B. H. K. Lewis, London1947
        • Camfield P.R.
        Recurrent seizures in the developing brain are not harmful.
        Epilepsia. 1997; 38: 735-737
        • Wasterlain C.W.
        Recurrent seizures in the developing brain are harmful.
        Epilepsia. 1997; 38: 728-734
        • Fois A.
        • Malandrini F.
        • Tomaccini D.
        Clinical findings in children with occipital paroxysmal discharges.
        Epilepsia. 1988; 29: 620-623
        • D’Alessandro P.
        • Piccirilli M.
        • Tiacci C.
        • Ibba A.
        • Maiotti M.
        • Sciarma T.
        • Testa A.
        Neuropsychological features of benign partial epilepsy in children.
        Italian Journal of Neurological Sciences. 1990; 11: 265-269
        • Weglage J.
        • Demsky A.
        • Pietsch M.
        • Kurlemann G.
        Neuropsychological, intellectual, and behavioral findings in patients with centrotemporal spikes with and without seizures.
        Developmental Medicine and Child Neurology. 1997; 39: 646-651
        • Croona C.
        • Kihlgren M.
        • Lundberg S.
        • EEG-Olofsson O.
        • EEG-Olofsson K.E.
        Neuropsychological findings in children with centrotemporal spikes.
        European Journal of Paediatric Neurology. 1998; 2: A31
        • Doose H.
        • Baier W.K.
        Benign partial epilepsy and related conditions: multifactorial pathogenesis with hereditary impairment of brain maturation.
        European Journal of Pediatrics. 1989; 149: 152-158

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      DOI: https://doi.org/10.1053/seiz.1999.0293

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