Childhood absence epilepsy: behavioral, cognitive, and linguistic comorbidities.

Abstract:

PURPOSE:Evidence for a poor psychiatric, social, and vocational adult outcome in childhood absence epilepsy (CAE) suggests long-term unmet mental health, social, and vocational needs. This cross-sectional study examined behavioral/emotional, cognitive, and linguistic comorbidities as well as their correlates in children with CAE. METHODS:Sixty-nine CAE children aged 9.6 (SD = 2.49) years and 103 age- and gender-matched normal children had semistructured psychiatric interviews, as well as cognitive and linguistic testing. Parents provided demographic, seizure-related, and behavioral information on their children through a semi-structured psychiatric interview and the child behavior checklist (CBCL). RESULTS:Compared to the normal group, 25% of the CAE children had subtle cognitive deficits, 43% linguistic difficulties, 61% a psychiatric diagnosis, particularly attention deficit hyperactivity disorder (ADHD) and anxiety disorders, and 30% clinically relevant CBCL broad band scores. The most frequent CBCL narrow band factor scores in the clinical/borderline range were attention and somatic complaints, followed by social and thought problems. Duration of illness, seizure frequency, and antiepileptic drug (AED) treatment were related to the severity of the cognitive, linguistic, and psychiatric comorbidities. Only 23% of the CAE subjects had intervention for these problems. CONCLUSIONS:The high rate of impaired behavior, emotions, cognition, and language and low intervention rate should alert clinicians to the need for early identification and treatment of children with CAE, particularly those with longer duration of illness, uncontrolled seizures, and AED treatment.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Caplan R,Siddarth P,Stahl L,Lanphier E,Vona P,Gurbani S,Koh S,Sankar R,Shields WD

doi

10.1111/j.1528-1167.2008.01680.x

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

1838-46

issue

11

eissn

0013-9580

issn

1528-1167

pii

EPI1680

journal_volume

49

pub_type

杂志文章
  • Laser thermal ablation for mesiotemporal epilepsy: Analysis of ablation volumes and trajectories.

    abstract:OBJECTIVE:To identify features of ablations and trajectories that correlate with optimal seizure control and minimize the risk of neurocognitive deficits in patients undergoing laser interstitial thermal therapy (LiTT) for mesiotemporal epilepsy (mTLE). METHODS:Clinical and radiographic data were reviewed from a prosp...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13715

    authors: Jermakowicz WJ,Kanner AM,Sur S,Bermudez C,D'Haese PF,Kolcun JPG,Cajigas I,Li R,Millan C,Ribot R,Serrano EA,Velez N,Lowe MR,Rey GJ,Jagid JR

    更新日期:2017-05-01 00:00:00

  • Predisposing and causative factors in childhood epilepsy.

    abstract::We review information from large studies of defined populations, examining the role of known factors and especially of prenatal and perinatal factors in contributing to nonfebrile seizure disorders of early childhood. We depend especially, but not exclusively, on the recently completed analyses from the Collaborative ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1987.tb05750.x

    authors: Nelson KB,Ellenberg JH

    更新日期:1987-01-01 00:00:00

  • The effect of amygdala kindling on neuronal firing patterns in the lateral thalamus in the GAERS model of absence epilepsy.

    abstract:OBJECTIVE:The co-occurrence of absence and mesial temporal lobe epilepsy is rare in both humans and animal models. Consistent with this, rat models of absence epilepsy, including genetic absence epilepsy rats from Strasbourg (GAERS), are resistant to experimental temporal lobe epileptogenesis, in particular by amygdala...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.12592

    authors: Carçak N,Zheng T,Ali I,Abdullah A,French C,Powell KL,Jones NC,van Raay L,Rind G,Onat F,O'Brien TJ

    更新日期:2014-05-01 00:00:00

  • Systemic lupus erythematosus associated with use of valproate.

    abstract::A 30-year-old man with long-standing localization-related epilepsy and mental retardation had seizures that were partially controlled with valproate (VPA) 500 mg four times daily. Routine examination showed severe thrombocytopenia with mild leukopenia and chronic low-grade hemolytic anemia. Pertinent laboratory result...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1994.tb02927.x

    authors: Asconapé JJ,Manning KR,Lancman ME

    更新日期:1994-01-01 00:00:00

  • Interobserver agreement of the old and the newly proposed ILAE epilepsy classification in children.

    abstract:PURPOSE:Accurate classification of epileptic seizures, epilepsies, and epilepsy syndromes is mandatory in both clinical practice and epilepsy research. In 2010, the International League Against Epilepsy (ILAE) proposed a new classification scheme. The aim of this study is to determine whether application of this new cl...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.12111

    authors: van Campen JS,Jansen FE,Brouwer OF,Nicolai J,Braun KP

    更新日期:2013-04-01 00:00:00

  • Hippocampal volume assessment in temporal lobe epilepsy: How good is automated segmentation?

    abstract:PURPOSE:Quantitative measurement of hippocampal volume using structural magnetic resonance imaging (MRI) is a valuable tool for detection and lateralization of mesial temporal lobe epilepsy with hippocampal sclerosis (mTLE). We compare two automated hippocampal volume methodologies and manual hippocampal volumetry to d...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2009.02243.x

    authors: Pardoe HR,Pell GS,Abbott DF,Jackson GD

    更新日期:2009-12-01 00:00:00

  • Correlations between magnetic resonance imaging-based hippocampal sclerosis and depth electrode investigation in epilepsy of the mesiotemporal lobe.

    abstract::Quantitative analysis of hippocampal formations (HF) by magnetic resonance imaging (MRI) was correlated with depth electrode recordings in 18 patients with partial epilepsy. All had seizures of mesiotemporal origin. Electrodes explored three HF segments: amygdala and HF head and anterior and posterior HF body. Corresp...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1994.tb02553.x

    authors: Baulac M,Saint-Hilaire JM,Adam C,Martinez M,Fontaine S,Laplane D

    更新日期:1994-09-01 00:00:00

  • Effects of carbamazepine on the hypothalamic-pituitary-gonadal axis in male patients with epilepsy: a prospective study.

    abstract::The effects of carbamazepine (CBZ) monotherapy on serum sex hormone levels and on pituitary responsiveness to various stimuli were evaluated in a prospective study with 21 male patients with epilepsy. The serum levels of testosterone (T), free testosterone (FT), sex hormone binding globulin (SHBG), estradiol (E2), lut...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1989.tb05324.x

    authors: Isojärvi JI,Pakarinen AJ,Myllylä VV

    更新日期:1989-07-01 00:00:00

  • Phenytoin penetration into brain after administration of phenytoin or fosphenytoin.

    abstract:PURPOSE:This study was designed to measure the brain penetration of phenytoin (PHT) after intravenous (i.v.) administration of either standard PHT or fosphenytoin (FPHT), a PHT prodrug. The study was formulated to answer the question whether the time required for FPHT to be converted to PHT in the bloodstream would del...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1999.tb02068.x

    authors: Walton NY,Uthman BM,El Yafi K,Kim JM,Treiman DM

    更新日期:1999-02-01 00:00:00

  • Neuroinflammation imaging markers for epileptogenesis.

    abstract::Epilepsy can be a devastating disorder. In addition to debilitating seizures, epilepsy can cause cognitive and emotional problems with reduced quality of life. Therefore, the major aim is to prevent the disorder in the first place: identify, detect, and reverse the processes responsible for its onset, and monitor and ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13778

    authors: Koepp MJ,Årstad E,Bankstahl JP,Dedeurwaerdere S,Friedman A,Potschka H,Ravizza T,Theodore WH,Baram TZ

    更新日期:2017-07-01 00:00:00

  • Different neurophysiologic patterns of myoclonus characterize Lennox-Gastaut syndrome and myoclonic astatic epilepsy.

    abstract:PURPOSE:To study the neurophysiologic characteristics of epileptic myoclonus in patients with Lennox-Gastaut syndrome (LGS) and myoclonic astatic epilepsy (MAE). METHODS:Three patients with symptomatic LGS (mean age, 15 years +/- 4) and three with cryptogenic MAE (mean age, 9 years +/- 3) were studied. Temporal relati...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2002.30301.x

    authors: Bonanni P,Parmeggiani L,Guerrini R

    更新日期:2002-06-01 00:00:00

  • The role of AMPA receptors and their antagonists in status epilepticus.

    abstract::Status epilepticus (SE) is typically defined as a prolonged self-sustaining seizure or repeated seizures showing an incomplete recovery between them. SE represents a medical emergency often associated with significant disability, morbidity, and mortality. Despite the clinical impact, the mechanisms underlying the tran...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/epi.14082

    authors: Leo A,Giovannini G,Russo E,Meletti S

    更新日期:2018-06-01 00:00:00

  • Epilepsy duration, febrile seizures, and cerebral glucose metabolism.

    abstract:PURPOSE:Studies using magnetic resonance imaging have shown that reduced hippocampal volume is associated with a history of febrile seizures, the duration of epilepsy, and the number of generalized tonic-clonic seizures. It is uncertain whether these factors have the same influence on functional as on structural measur...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.0013-9580.2004.51803.x

    authors: Theodore WH,Kelley K,Toczek MT,Gaillard WD

    更新日期:2004-03-01 00:00:00

  • Focal cerebral lesions found by magnetic resonance imaging in cryptogenic nonrefractory temporal lobe epilepsy patients.

    abstract::Brain magnetic resonance imaging (MRI) was studied in patients with mild-to-moderate temporal lobe epilepsy (TLE), well controlled by pharmacotherapy, and with normal computed tomographic (CT) scans. Magnetic resonance imaging abnormalities were found in 19 patients; of these, nine had abnormalities in temporomesial r...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1989.tb05469.x

    authors: Franceschi M,Triulzi F,Ferini-Strambi L,Giusti MC,Minicucci F,Fazio F,Smirne S,Del Maschio A

    更新日期:1989-09-01 00:00:00

  • Neonatal monosodium glutamate abolishes corticotropin-releasing factor-induced epileptogenic activity in rats.

    abstract::Intracerebroventricular (i.c.v.) injection of rat corticotropin-releasing factor (rCRF) at doses of 5-20 micrograms in rats induces epileptogenic activity characterized by pacemaker-like spikes localized in the hippocampal leads. Such an effect was still present in rats neonatally treated with saline but was absent in...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1990.tb05510.x

    authors: Marrosu F,Argiolas A,Carcangiu P,Giagheddu M,Fratta W

    更新日期:1990-11-01 00:00:00

  • Knowledge, attitudes, and perceptions of epilepsy in Asia: toward a uniform study protocol.

    abstract:PURPOSE:Knowledge, attitudes, and perceptions of epilepsy (KAPE) among the public play a major role in determining the extent to which people with epilepsy can be integrated into their society. KAPE SURVEYS IN ASIA:Surveys conducted among Chinese in China, Taiwan, Malaysia, Singapore, and Hong Kong demonstrated simila...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.0013-9580.2005.461014.x

    authors: Lim SH,Pan A

    更新日期:2005-01-01 00:00:00

  • Lateralized postictal EEG delta predicts the side of seizure surgery in temporal lobe epilepsy.

    abstract:PURPOSE:The concordance of lateralized EEG postictal polymorphic delta activity (PPDA) to the side of seizure origin in temporal lobe epilepsy (TLE) has received limited study. Our objective was to study the lateralizing value of PPDA in patients with documented TLE. METHODS:A cohort of consecutive adults with TLE, de...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2001.45999.x

    authors: Jan MM,Sadler M,Rahey SR

    更新日期:2001-03-01 00:00:00

  • Influence of therapeutic phenobarbital and phenytoin medication on the polygraphic sleep of patients with epilepsy.

    abstract::Sleep is a modulator of seizure activity, and many antiepileptic drugs are modulators of sleep. Can influences on sleep organization be involved in antiepileptic drug action, and can these partly account for differences in drug response of various epileptic syndromes? Much more exact data must be collected before thes...

    journal_title:Epilepsia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1528-1157.1984.tb03445.x

    authors: Wolf P,Röder-Wanner UU,Brede M

    更新日期:1984-08-01 00:00:00

  • Epilepsy and sudden death: a personal view.

    abstract::Epilepsy Bereaved? is a charity that aims to inform, support, and empower partners, relatives, and friends of people affected by sudden unexpected death in epilepsy (SUDEP). It also works toward preventing mortality due to SUDEP through raising awareness and promoting research. The aim of Epilepsy Bereaved? is to enab...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1997.tb06121.x

    authors: Hanna J

    更新日期:1997-11-01 00:00:00

  • Unverricht-Lundborg disease, a condition with self-limited progression: long-term follow-up of 20 patients.

    abstract:PURPOSE:To assess the long-term evolution of Unverricht-Lundborg disease (ULD), especially concerning myoclonus, seizures, and EEG characteristics. METHODS:We retrospectively evaluated 20 patients (six women, 14 men; mean age, 37.9 years; range, 26-53 years) with ULD who had been closely followed up since the onset of...

    journal_title:Epilepsia

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1528-1167.2006.00553.x

    authors: Magaudda A,Ferlazzo E,Nguyen VH,Genton P

    更新日期:2006-05-01 00:00:00

  • Magnetic resonance imaging in animal models of epilepsy-noninvasive detection of structural alterations.

    abstract::Small animal magnetic resonance imaging (MRI) has opened a window through which brain abnormalities can be observed over time in rodents noninvasively. We review MRI studies done during epileptogenesis triggered by status epilepticus in rat. Most of these studies have used quantitative T2, diffusion, and/or volumetric...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2007.01236.x

    authors: Gröhn O,Pitkänen A

    更新日期:2007-01-01 00:00:00

  • Lateralization of mesial temporal lobe epilepsy with chronic ambulatory electrocorticography.

    abstract:OBJECTIVE:Patients with suspected mesial temporal lobe (MTL) epilepsy typically undergo inpatient video-electroencephalography (EEG) monitoring with scalp and/or intracranial electrodes for 1 to 2 weeks to localize and lateralize the seizure focus or foci. Chronic ambulatory electrocorticography (ECoG) in patients with...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13010

    authors: King-Stephens D,Mirro E,Weber PB,Laxer KD,Van Ness PC,Salanova V,Spencer DC,Heck CN,Goldman A,Jobst B,Shields DC,Bergey GK,Eisenschenk S,Worrell GA,Rossi MA,Gross RE,Cole AJ,Sperling MR,Nair DR,Gwinn RP,Park YD,

    更新日期:2015-06-01 00:00:00

  • Clinical evaluation of ganaxolone in pediatric and adolescent patients with refractory epilepsy.

    abstract:PURPOSE:A pilot study of the safety, tolerability, dose range and potential efficacy of ganaxolone for the treatment of refractory epilepsy in pediatric and adolescent subjects. METHODS:We report the results of a nonrandomized, nonblinded, open-label, dose-escalation trial of ganaxolone in pediatric subjects (5-15 yea...

    journal_title:Epilepsia

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1528-1167.2007.01182.x

    authors: Pieribone VA,Tsai J,Soufflet C,Rey E,Shaw K,Giller E,Dulac O

    更新日期:2007-10-01 00:00:00

  • Agenesis of internal carotid artery associated with symptomatic partial epilepsy.

    abstract::An 8-year-old Chinese girl had a first episode of symptomatic partial epilepsy at age 2 years. Despite regular treatment with antiepileptic drugs (AEDs), the seizures remitted and exacerbated. Epileptiform EEG discharges were evident, arising from the left centroparietal region. Magnetic resonance imaging (MRI) and co...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1994.tb01808.x

    authors: Wang PJ,Liu HM,Young C,Lin MY,Shen YZ

    更新日期:1994-11-01 00:00:00

  • Short-term plasticity of hippocampal neuropeptides and neuronal circuitry in experimental status epilepticus.

    abstract:PURPOSE:We used a model of self-staining status epilepticus (SSSE), induced by brief intermittent stimulation of the perforant path in unanesthetized rats, to study the mechanism of initiation and of maintenance of SSSE and the role of neuropeptides in those processes. METHODS:The perforant path was stimulated intermi...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1046/j.1528-1157.43.s.5.1.x

    authors: Wasterlain CG,Mazarati AM,Naylor D,Niquet J,Liu H,Suchomelova L,Baldwin R,Katsumori H,Shirasaka Y,Shin D,Sankar R

    更新日期:2002-01-01 00:00:00

  • Psychopathology in epilepsy: relationship of seizure type to age at onset.

    abstract::Study of patients with temporal lobe epilepsy and generalized epilepsy revealed no overall seizure type differences, nor overall age-at-onset effects, on MMPI measures of psychopathology. However, statistically significant interactions between seizure type and age at onset were obtained on several MMPI measures, and s...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1980.tb04040.x

    authors: Hermann BP,Schwartz MS,Karnes WE,Vahdat P

    更新日期:1980-02-01 00:00:00

  • Validating screening tools for depression in epilepsy.

    abstract:OBJECTIVE:Depression is a common comorbidity of epilepsy, and its timely identification in persons with epilepsy is essential. The use of screening tools to detect depression is common in epilepsy, but some scales in current use have not been validated using a gold standard in this population. The present study aims to...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.12754

    authors: Fiest KM,Patten SB,Wiebe S,Bulloch AG,Maxwell CJ,Jetté N

    更新日期:2014-10-01 00:00:00

  • Febrile seizures: clinical characteristics and initial EEG.

    abstract::We examined the relationship between clinical characteristics and EEG classification in all children with febrile seizures examined at the University Pediatric Clinic, Skopje, Yugoslavia between 1982 and 1984. This is the only facility in Macedonia providing EEG or neurologic consultation for children. EEGs were class...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1992.tb02282.x

    authors: Sofijanov N,Emoto S,Kuturec M,Dukovski M,Duma F,Ellenberg JH,Hirtz DG,Nelson KB

    更新日期:1992-01-01 00:00:00

  • The intracarotid amobarbital procedure: when is it worth repeating?

    abstract:PURPOSE:Despite the reported diagnostic value of the intracarotid amobarbital procedure (IAP) or "Wada test" for determining hemispheric lateralization and memory functioning, it has never undergone formal reliability testing because a prospective test-retest study design is neither feasible nor ethical. However, some ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2011.03399.x

    authors: Whitman LA,Morrison CE,Becske T,Barr WB,Carlson C

    更新日期:2012-04-01 00:00:00

  • Audiogenic seizure-induced changes in energy metabolites in cerebral cortical and cerebellar layers.

    abstract::Audiogenic seizure-prone mice (DBA/2J) were exposed to a broad band noise source. A reproducible response consisting of wild run, clonus, and tonic stages resulted in all mice. Layers 1 and pyramidal from the parietal cortex and the molecular and Purkinje cell-rich layers from the cerebellar vermis were separately ana...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1982.tb05436.x

    authors: McCandless DW,Schwartzenburg FC Jr

    更新日期:1982-10-01 00:00:00