Clinical and neuropsychological correlation in patients with rolandic epilepsy

Abstract

OBJECTIVES: To evaluate the presence of neurological soft signs (NSS) and to correlate them with the Wechsler Intelligence Scale for Children (WISC III) in patients with rolandic epilepsy (RE). METHODS: Forty children and adolescents aged between 9 and 15 years were studied. They were divided into two groups: G1 - patients with RE (n=20) - and G2 - healthy controls without epilepsy (n=20). They were assessed with the Quick Neurological Screening Test (QNST II) - clinical trial to search for NSS -, and the WISC III - neuropsychological test. RESULTS: No statistical difference between groups was found in WISC III and QNST II. However, children with poorer motor skills had worse performance in the QNST II and also in the execution intelligence quotient - IQ (p=0.001) and in total IQ (p=0.004), thus showing a positive correlation between them. CONCLUSIONS: The QNST II is a good screening tool for the neurologist to detect abnormalities in fine motor skills.

Working memory and phonological awareness in children with rolandic epilepsy

“…Despite the favorable prognosis, studies began to question the "benign" nature of this syndrome when faced with complaints about learning abilities and deficits in neuropsychological tests of children affected by the issue (Beaumanoir, Ballis, Varfis, & Ansari, 1974;Hermann, Jones, Jackson, & Seidenberg, 2012), especially in the areas of language, memory, attention, motor coordination and executive functions (Capelatto et al, 2012;Hwang et al, 2013;Kim, Lee, Chung, Lim & Lee, 2014;Miziara et al, 2012;Neri et al, 2012;Northcott et al, 2005;Overvliet et al, 2013;Smith et al, 2012;Smith, Bajomo, & Pal, 2015;Tovia et al, 2011;Vannest et al, 2013;Verrotti, Filippini, Matricardi, Agostinelli & Gobbi, 2014).…”