Cognitive assessment in epilepsy surgery of children

Cognitive assessment in epilepsy surgery of children
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儿童癫痫手术中的认知评估

DOI:
10.1007/s00381-006-0151-2
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发表时间:
2006
期刊:
Child's Nervous System
影响因子:
--
通讯作者:
F. Guzzetta
F. Guzzetta
中科院分区:
--
文献类型:
--
作者:
D. Battaglia;D. Chieffo;D. Lettori;F. Perrino;C. Rocco;F. Guzzetta

文献摘要

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引言 尽管儿童与成人一样,神经认知评估是手术前后的重要步骤,但在文献中,有关儿童术前和术后神经认知评估的数据非常少。 目的 本文的目的是考虑发育过程中神经认知评估的一些特殊方面,并报告有关局灶性切除术和大脑半球切除术治疗癫痫儿童的神经心理学结果的文献资料。 结果与讨论 第二部分涉及我们对一组45名7岁前接受手术的难治性癫痫儿童的个人经验。结果表明,早期手术治疗对于难治性癫痫儿童的癫痫控制和行为改善通常是有效的。关于认知结果,我们发现大多数患者的神经认知水平没有变化。 结论 我们强调在大量幼儿中进行标准化神经心理学评估的多中心研究的重要性。
IntroductionAlthough the neurocognitive assessment in children as in the adults is an important step before and after surgery, in the literature, the data about pre- and postoperative neurocognitive evaluations in children are very few.ObjectiveThe purpose of this paper is to consider some peculiar aspects of the neurocognitive assessment during development, and report literature data about neuropsychological outcome of epileptic children treated with focal resection and hemispherectomy.Results and discussionThe second section concerns our personal experience about a cohort of 45 children with refractory epilepsy operated on before 7 years. The results suggest that early surgical treatment is generally effective for seizure control and behavior improvement in children with refractory epilepsy. Concerning cognitive outcome, we found that the neurocognitive level was unchanged in the majority of the patients.ConclusionWe underline the importance of multicentric studies with standardized neuropsychological assessments in large series of young children.
DOI: --
发表时间: 1995-07
期刊: --
影响因子: --
作者:
B. Kolb;I. Whishaw
通讯作者: B. Kolb;I. Whishaw