Academic Outcomes in Individuals With Childhood-Onset Epilepsy: Mediating Effects of Working Memory

Danguecan, Ashley; Smith, Mary Lou

doi:10.1017/s135561771700008x

Cited by 17 publications

(14 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…As developmental gains would not be expected in the early stages following pediatric surgery, our findings of a stabilization may be a greater reflection of the limited intervals between surgery and follow-up. Considering the mediating effects of domains such as working memory [82] and executive function [83] on academic achievement, our findings in relation to wider cognitive outcomes are promising for academic performance in the years following epilepsy surgery.…”

Section: Discussionmentioning

confidence: 83%

Academic attainment following pediatric epilepsy surgery: A systematic review

Sherlock

Madigan

Linehan

et al. 2022

Epilepsy & Behavior

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 83%

Academic attainment following pediatric epilepsy surgery: A systematic review

Sherlock

Madigan

Linehan

et al. 2022

Epilepsy & Behavior

View full text Add to dashboard Cite

“…Embora tão oportunos na epilepsia, os anticonvulsantes não têm efeitos terapêuticos na narcolepsia e levam a custos desnecessários e efeitos colaterais, como o ganho de peso, que já compõem a morbidade da própria doença (Poli et al, 2013). Vale ressaltar, ainda, que crises epilépticas de ausência, que provocam no paciente episódios de olhar vago e distanciamento do seu arredor, figuram como a principal e muitas vezes única manifestação de várias síndromes epilépticas, como a epilepsia generalizada idiopática, e também podem cursar com alterações arquiteturais do sono e queda do rendimento escolar, devendo ser pensadas como diagnóstico diferencial (Dinopoulos et al, 2018;Danguecan & Smith, 2017).…”

Section: Discussionunclassified

Narcolepsia na Infância: A Atuação Multidisciplinar com a Psicologia do Sono do Diagnóstico ao Tratamento em um Relato de Caso

Medeiros

Silva

Almondes

2022

Psicol. cienc. prof.

View full text Add to dashboard Cite

Resumo A narcolepsia, distúrbio neurológico crônico caracterizado pela sonolência diurna excessiva, pode ser associada à cataplexia, fragmentação do sono, alucinações relacionadas ao sono e paralisia do sono. Frequentemente, é confundida com outros transtornos, como Transtorno do Déficit de Atenção com Hiperatividade (TDAH), epilepsia e até esquizofrenia, assim, por vezes, é diagnosticada inadequadamente. Objetiva-se relatar o diagnóstico diferencial bem-sucedido da narcolepsia na infância e suas dificuldades, realizado por uma equipe multidisciplinar, enfocando a atuação da psicologia do sono em avaliação e intervenção. Um menino de 10 anos foi recebido no Ambulatório de Narcolepsia e Apneia do Sono Infantil (AMBNAP), alocado no Hospital Universitário Onofre Lopes da Universidade Federal do Rio Grande do Norte (UFRN) com queixas de sonolência diurna excessiva, sono fragmentado e episódios de perda de tônus muscular. Foi submetido a entrevistas psiquiátrica e psicológica pormenorizadas, a exames, aplicação de escalas específicas para rastreio e diagnóstico de transtornos de sono e diário de sono, solicitação de recursos de mídia e de relatório escolar e avaliação neurológica. A partir da investigação multidisciplinar, o diagnóstico foi de Narcolepsia e Síndrome da Apneia Obstrutiva do Sono (SAOS). O paciente foi submetido a técnicas da Terapia Cognitivo-Comportamental (TCC) e segue em acompanhamento, apresentando resultados satisfatórios. Este estudo evidencia que uma equipe multidisciplinar especializada na área de sono atuando em conjunto com a Psicologia do Sono oportuniza o diagnóstico e intervenções precoces eficazes para o tratamento do distúrbio do sono na infância.

show abstract

“…Focal neurocognitive deficits, such as declarative and working memory disorders, might explain the impact on learning and academic skills. 37 These deficits typically do not affect daily living independence or the ability to obtain a regular school degree. 38 Similar to the findings of Reinholdson et al, 18 we observed no effect of seizure freedom on academic achievement.…”

Section: Academic Attainmentmentioning

confidence: 99%

How are they doing as adults? Psychosocial and socioeconomic outcomes 11‐30 years after pediatric epilepsy surgery

et al. 2023

View full text Add to dashboard Cite

ObjectivePediatric epilepsy surgery yields cure from epilepsy or complete seizure control with continued medication in many patients early in life. This study aimed to evaluate the long‐term (>10 years) psychosocial and socioeconomic outcomes of pediatric epilepsy surgery and examine the role of comorbid disability, type of surgery, seizure freedom, and age at surgery.MethodsA novel ad hoc parent/patient questionnaire was used to assess educational and occupational attainment, marital/familial status, mobility, and other outcomes in patients who underwent unilobar or multilobar surgery for drug‐refractory epilepsy during their childhood. The questionnaire also captured information on comorbid disability.ResultsOf the 353 eligible patients, 203 could still be contacted and 101 of these (50%) returned appropriately filled‐in questionnaires (follow‐up intervals: 11‐30 [mean: 19.6] years). The cure from epilepsy rate was 53%. Type of surgery was strongly confounded by comorbid disability. Patients with comorbid disabilities had significantly lower rates of regular school degrees, gainful employment, marriage, and driving license (N = 29; 12%, 4%, 0%, 3%) compared with non‐disabled patients (N = 69; 89%, 80%, 43%, and 67%, respectively). Patients achieved lower school degrees than their siblings and parents. Non‐disabled seizure‐free patients had better employment and mobility outcomes compared with non‐seizure‐free patients. Age at surgery (<10 vs. ≥10 years of age) did not have any effect on any outcome in patients with preschool seizure onset.SignificancePediatric epilepsy surgery can lead to permanent relief from epilepsy in many patients, but comorbid disability strongly impacts adult life achievement. In non‐disabled patients, favorable outcomes in academic, occupational, marital, and mobility domains were achieved, approaching respective rates in the German population. Complete seizure freedom had additional positive effects on employment and mobility in this group. However, in case of chronic comorbid disability the overall life prospects may be limited despite favorable seizure outcomes.

show abstract

Academic Outcomes in Individuals With Childhood-Onset Epilepsy: Mediating Effects of Working Memory

Abstract: For children with intractable epilepsy, working memory deficits present a significant barrier to the development of academic skills. Working memory interventions may be a helpful adjunct to academic remediation in this population to facilitate academic progress. (JINS, 2017, 23, 594-604).

Cited by 17 publications

References 45 publications

Academic attainment following pediatric epilepsy surgery: A systematic review

Academic attainment following pediatric epilepsy surgery: A systematic review

Narcolepsia na Infância: A Atuação Multidisciplinar com a Psicologia do Sono do Diagnóstico ao Tratamento em um Relato de Caso

How are they doing as adults? Psychosocial and socioeconomic outcomes 11‐30 years after pediatric epilepsy surgery

Contact Info

Product

Resources

About