Ponencia

Predictive variables for mental retardation in a Pediatric Epilepsy Monitoring Unit. Neuropsychological assessment

A. López-Sala, A. Palacio-Navarro, A. Donaire, G. García, R. Colomé, C. Boix, A. Sans, J. Campistol, F.X. Sanmartí [REV NEUROL 2010;50 (Supl. 3):S59-S67] PMID: 20200849 DOI: https://doi.org/10.33588/rn.50S03.2009765

OPEN ACCESS

Volumen 50 | Number S03 | Nº of views of the article 4.440 | Nº of PDF downloads 1.323 | Article publication date 15/02/2010

Download PDF Castellano Citation Search in PubMed

Share in:

Go to another issue

ABSTRACT

AIM We sought to describe the epidemiological and clinical data from our patients in the Pediatric Epilepsy Monitoring Unit (PEMU) of the Sant Joan de Déu Hospital of Barcelona, and determine the variables of risk for mental retardation.

PATIENTS AND METHODS A retrospective review of PEMU reports and hospital discharge summaries from March 2005 to December 2008 was conducted. The data from patients with intelligence quotient (IQ) estimated, older than 3 years of age and with epileptic electroencephalography (EEG) activity was analyzed in 158 patients (8.8 ± 5.2 years; 55.1% boys). Of those pediatric patients, 63 had IQ less than 70 and 47 an IQ greater than or equal to 70. Intractable epilepsy was present in all of them.

RESULTS The percentage of the patients with mental retardation is significantly higher in patients with onset of epilepsy before 24 months (68.3%) than patients with later onset (27.7%). Onset of seizures, EEG findings and epilepsy etiology are significant risk factors for mental retardation.

CONCLUSIONS Early age at seizure, multifocal epilepsy and cryptogenic etiology are factors of worse prognosis to normal development of cognitive functions in pediatric intractable epilepsy. KeywordsChildren Cognitive profile Mental retardation Neuropsychology Pediatric Epilepsy Monitoring Unit (PEMU)Refractory epilepsy CategoriesEpilepsias y síndromes epilépticos Neuropediatría Neuropsicología Neuropsiquiatría Técnicas exploratorias

FULL TEXT (solo disponible en lengua castellana / Only available in Spanish)

Acceso directo al último número

Último Podcast

Ponencia

Predictive variables for mental retardation in a Pediatric Epilepsy Monitoring Unit. Neuropsychological assessment

¡CONVIÉRTASE EN USUARIO PREMIUM DE NEUROLOGIA.COM!

Al hacerse premium, está apoyándonos para que Revista de Neurología siga siendo uno de los referentes de habla hispana en la difusión del conocimiento en neurociencias. ¡Gratuita tanto para autores como para todos los usuarios de la web!