Clinical and neuropsychological assessment of executive function in a sample of children and adolescents with idiopathic epilepsy
Document title: Clinical and neuropsychological assessment of executive function in a sample of children and adolescents with idiopathic epilepsy
Journal: Arquivos de neuro-psiquiatria
Database:
System number: 000569639
ISSN: 0004-282X
Authors: 1
2
1
2
Institutions: 1Universidade Federal do Rio de Janeiro, Departamento de Psiquiatria, Rio de Janeiro, RJ. Brasil
2Universidade Federal Fluminense, Departamento de Neurologia, Niterói, RJ. Brasil
Year:
Volumen: 72
Number: 12
Pages: 954-959
Country: Brasil
Language: Inglés
Portuguese abstract Objetivo Comparar as funções executivas de crianças e adolescentes com epilepsia idiopática com um grupo controle e correlacioná-las com dados clínicos, nível intelectual, desempenho acadêmico. Método Estudo transversal, descritivo e analítico. Foram avaliados 31 casos e 35 controles através do WCST (Wisconsin Card SortingTest). Os resultados foram comparados com dados clínicos (tipo e frequência de crises, duração da doença e número de drogas antiepilépticas utilizadas), QI (WISC-III) e desempenho acadêmico (TDE). Resultados Pacientes com epilepsia tiveram piores resultados de funções executivas. Não houve correlação linear positiva entre a pontuação nos testes e as variáveis da epilepsia. Houve associação positiva entre desempenho acadêmico e alguns resultados de função executiva. Conclusão Crianças com epilepsia idiopática bem controlada podem apresentar déficit de função executiva não relacionado a aspectos clínicos. Isso pode influenciar o rendimento acadêmico.
English abstract Objective To compare the executive functions of children and adolescents with idiopathic epilepsy with a control group and to correlate with clinical data, intelligence and academic performance. Method Cross-sectional, descriptive and analytical study. Thirty-one cases and thirty-five controls were evaluated by the WCST (Wisconsin Card Sorting Test).The results were compared with clinical data (seizure type and frequency, disease duration and number of antiepileptic drugs used), IQ (WISC-III) and academic performance (APT). Results Patients with epilepsy had poorer executive function scores. There was no positive linear correlation between test scores and epilepsy variables. There was a positive association between academic performance and some executive function results. Conclusion Children with well controlled idiopathic epilepsy may show deficits in executive functions in spite of clinical variables. Those deficits may influence academic performance.
Keyword: Epilepsy,
Executive function,
Child,
Adolescent
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