We studied expressive and receptive language, oral motor ability, attention, memory, and intelligence in 20 6-year-old children with epilepsy (14 females, six males; mean age 6y 5mo, range 6y-6y 11mo) without learning disability, cerebral palsy (CP), and/or autism, and in 30 reference children without epilepsy (18 females, 12 males; mean age 6y 5mo, range 6y-6y 11mo). Ten children had partial, six primarily generalized, and four unclassified epilepsy. Fourteen were having monotherapy and six were taking two or more antiepileptic drugs; 13 children were free from seizures 3 months before the assessment. Results show no statistically significant difference between the groups concerning Verbal IQ, expressive and receptive grammar, and receptive vocabulary. The children with epilepsy had a significantly lower Performance IQ and lower scores in tests of oral motor ability, articulation, emerging literacy, auditory attention, short-term memory, and rapid word retrieval. Parent ratings revealed no significant difference in communicative ability. Polytherapy and early onset of epilepsy influenced some results. Preschool children with epilepsy without learning disability, CP, and/or autism may have receptive verbal ability within the normal range but visuoperceptual, auditory attentional, and speech-language difficulties that could affect school achievement. Careful testing of children with epilepsy who appear to be functioning within the normal range is needed because this may reveal specific impairments that require appropriate professional input.

译文

我们研究了20名6岁癫痫儿童 (14名女性,6名男性; 平均年龄6y 5mo,范围6y-6y 11mo) 的表达和接受语言,口腔运动能力,注意力,记忆力和智力,无学习障碍,脑瘫 (CP) 和/或自闭症,在30例无癫痫的参考儿童中 (女性18例,男性12例; 平均年龄6y 5mo,范围6y-6y 11mo)。10名儿童患有部分癫痫,6名主要是全身性癫痫和4名未分类癫痫。14例接受单药治疗,6例服用两种或多种抗癫痫药物; 13名儿童在评估前3个月没有癫痫发作。结果显示,在言语智商,表达和接受语法以及接受词汇方面,两组之间没有统计学上的显着差异。癫痫患儿的智商明显较低,在口腔运动能力,清晰度,新兴识字能力,听觉注意力,短期记忆和快速单词检索方面的得分较低。父母评分显示沟通能力没有显着差异。多治疗和癫痫的早期发作影响了一些结果。没有学习障碍,CP和/或自闭症的患有癫痫的学龄前儿童的言语能力可能在正常范围内,但视觉,听觉注意和言语障碍可能会影响学业成绩。需要对似乎在正常范围内起作用的癫痫儿童进行仔细测试,因为这可能会发现需要适当专业投入的特定损伤。

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