Educational problems with underlying neuropsychological impairment are common in children with Benign Epilepsy of Childhood with Centrotemporal Spikes (BECTS)

dc.contributorVinayan, KP
dc.contributorBiji, V
dc.contributorThomas, SV
dc.date.accessioned2012-12-04T11:43:56Z
dc.date.available2012-12-04T11:43:56Z
dc.date.issued2005
dc.description.abstractIntroduction: Benign Epilepsy of Childhood with Centrotemporal Spikes (BECTS) is one of the most common childhood epilepsies with a good prognosis regarding the seizure and neuropsychological outcomes. However, recent reports indicate the presence of neuropsychological problems in a significant percentage of children with BECTS. Our study was aimed to examine the educational performance and neuropsychological functions along with clinical and electrographic characteristics in a cohort of children with BECTS.Methods: We identified a cohort of children with BECTS by screening medical and EEG recordings of patients attending our institute. Data were collected with a standard protocol. Their educational performance was evaluated by an interview with the parents. Neuropsychological and language tests were administered to 2 children who had educational problems. Statistical analysis was done using the chi(2)-test.Results: Fifty children (29 boys and 21 girls; mean age of onset of epilepsy 7.84 +/- 2.87 years) who met the criteria for BECTS were included in this study. Atypical seizure characteristics for BECTS were observed in 26 (52%) children. EEG showed typical centrotemporal spike and wave discharges in all children, 42% of them had a tangential dipole in the frontocentral region. An additional extra-rolandic focus in the EEG was found in seven children (14%). Educational problems were identified in 27 children (54%); 19 of them had neuropsychological or language impairment (p = 0.003). We found a statistically significant correlation between the occurrence of educational problems and the absence of a tangential dipole in the EEG (p < 0.001). Abnormal language function had a significant correlation with atypical seizure semiology (p = 0.021).Conclusion: This study shows that a significant number of children with BECTS have neuropsychological impairment and educational problems. (c) 2005 BEA Trading Ltd.
dc.identifier.citationSEIZURE-EUROPEAN JOURNAL OF EPILEPSY. 14; 3; 207-212en_US
dc.identifier.urihttp://dx.doi.org/10.1016/j.seizure.2005.01.009
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/pubmed/15797356
dc.identifier.urihttps://dspace.sctimst.ac.in/handle/123456789/401
dc.publisherSEIZURE-EUROPEAN JOURNAL OF EPILEPSY
dc.subjectNeurology
dc.titleEducational problems with underlying neuropsychological impairment are common in children with Benign Epilepsy of Childhood with Centrotemporal Spikes (BECTS)
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