Neuropsychological study of localization‐related epilepsy in children

Abstract

S270K. Akada et al. Table 1. The mean (s.d.) of the BDI, SDS and Overall Psychosocial Functioning Scale of the WPSI BDI SDS WPSI ~~ Total cases (n = 23) 9.9 (9.1) 37.3 (9.4) 24.3 (12.0) Partial epilepsy (n = 27) 11.9 (8.8) 39.0 (9.4) 27.0 (1 1.4) Generalized epilepsy (n = 6) 0.8 (1.6) 30.0 (5.2) 12.2 (5.9) BDI, Beck's Depression Inventory; SDS, Self-rating Depression Scale; WPSI, Washington Psychosocial Seizure Inventory. DISCUSSIONThe MMPI scales that showed remarkable correlation with depressive symptoms on the BDI and SDS were D, Pa, Pt, Sc and Si. In the present study, the nature of depressive state was again related to the psychological factors. On the other hand, the influence of seizure frequency was relatively small. The Pepressive tendency in our subjects was not necessarily significant when the mean values of all the cases were considered. However, it should be kept in mind that there was a group of patients with a severely depressed state. Accordingly, we should pay attention to the latent depressive tendency in epileptics. Our results emphasize the necessity of the psychotherapeutical approach in the medical care of epilepsy. Figure 2. The correlation of each battery. Scales with higher correlation coefficient (> 0.6) were combined with each other. FB, family background; EA, emotional adjustment; IA, interpersonal adjustment; VA, vocational adjustment; FS, financial status; AS, adjustment to seizures; MM, medicine and medical management scale of the WPSI. REFERENCES 1. Hosokawa J, Fukuma M, Kugoh T, Suwaki H, Hosokawa K. Depressive symptoms in patients with epilepsy. ]pn. ] . Psychialr Neurof. 1992; 4 6 449-451. Kugoh T, Fukuma M, Hosokawa J et al. Depressive symptoms among ambulant epileptics leading ordinary social life. Qin. Psychi-

Neuropsychological Deficits in Childhood Epilepsy Syndromes

“…Several child studies have found either no relationship between the side of seizure focus and material specific memory performances (Camfield et al 1984;Lendt et al 1999), equivalent deficits in verbal memory performance regardless of seizure side (Igarashi et al 1995), or lower verbal memory performances in left-TLE patients in the absence of concomitant visual memory impairments in right-TLE patients (Clusmann et al 2004). However, some have indeed shown modality specific impairments (Cohen 1992;Jambaque et al , 2007.…”

“…Most neuropsychological studies of FLE in children have been single case studies (Hernandez et al 2001). In a study that compared neuropsychological performances of children with symptomatic TLE and FLE, a differential impairment in concept formation on a modified (i.e., simpler) WCST was seen in the latter (Igarashi et al 1995), a finding that was confirmed in a subsequent study (Igarashi et al 2002). However, a study that used the original version of the WCST did not find children with asymptomatic FLE to be impaired relative to controls with respect to number of categories completed or in the number of perseverative responses (Riva et al 2005), despite deficits on other executive measures, including phonemic (but not semantic) fluency and design fluency.…”