Benign childhood epilepsy with centro-temporal spikes: correlation between clinical, cognitive and EEG aspects.

Full Abstract

Benign childhood epilepsy with centro-temporal spikes (BECTS) is a form of epilepsy with no demonstrable anatomical lesion showing spontaneous seizure remission. During the active phase of the disease the children may show cognitive deficits. The objective of this study was to assess, in children with BECTS, the relationship between clinical-EEG aspects and performance in the school performance test (SPT), Raven's progressive matrixes test and the Wechsler Intelligence Scale for Children (WISC-III). Forty-two 7 to 11 year old children were included and the following tests carried out:
anamnesis, neurological examination, electroencephalogram (EEG), SPT, Raven's test and WISC-III. The children with BECTS had normal IQ values but showed inferior performance in the SPT more frequently than "healthy" children, paired with respect to age and maternal scholastic level. There was moderate positive correlation between WISC-III results and the age when the seizures started and the educational level of the parents. On the other hand, aspects linked to the epileptic nature of BECTS, such as the number of seizures, time since last seizure and the number and lateralization of the centro-temporal spikes on the EEG, showed no correlation with the neuropsychological tests.

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Author information

Author/s: Fonseca, Lineu Corrêa (LC); Tedrus, Glória Maria A S (GM); Pacheco, Elisabeth Marinelli de Camargo (EM); Berretta, Marcela Fernanda (MF); Campregher, Amanda Augusta (AA); Costa, Débora Macedo (DM);

Affiliation: Pontifícia Universidade Católica de Campinas, Rua Sebastião de Souza 205/122, 13013-910 Campinas, SP, Brazil.

Journal and publication information

Publication Type: Evaluation Studies; Journal Article

Journal: Arquivos de neuro-psiquiatria (Arq Neuropsiquiatr), published in Brazil. (Language: eng)

Reference: 2007-Sep; vol 65 (issue 3A) : pp 569-75

Dates: Created 2007/09/18; Completed 2008/03/12;

PMID: 17876392, status: MEDLINE (last retrieval date: 11/6/2008)

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Age of Onset
Chi-Square Distribution
Child
Cognition Disorders - diagnosis; physiopathology; psychology
Educational Status
Electroencephalography
Epilepsy, Rolandic - physiopathology; psychology
Female
Functional Laterality

Humans
Male
Neuropsychological Tests
Psychomotor Performance - physiology
Reading
Remission, Spontaneous
Time Factors
Underachievement
Wechsler Scales

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