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Longitudinal Assessment of Neuropsychologic and Language Function in Children with Benign Rolandic Epilepsy

School of Women's and Children's Health, University of New South Wales, Sydney, New South Wales, Australia, Department of Psychology, Macquarie University, Sydney, New South Wales, Australia

Anne M. Connolly, BPsych (Hons)

School of Women's and Children's Health, University of New South Wales, Sydney, New South Wales, Australia

Jenny McIntyre, LACST

Department of Speech Pathology, Sydney Children's Hospital, Randwick, New South Wales, Australia

Jane Christie, DipAppSc

Department of Speech Pathology, Sydney Children's Hospital, Randwick, New South Wales, Australia

Anna Berroya, MMed

Department of Neurophysiology, The Children's Hospital at Westmead, Westmead, New South Wales, Australia

Alan Taylor, PhD

Department of Psychology, Macquarie University, Sydney, New South Wales, Australia

Jennifer Batchelor, PhD

Department of Psychology, Macquarie University, Sydney, New South Wales, Australia

Galia Aaron, BAppSc (Hons)

School of Women's and Children's Health, University of New South Wales, Sydney, New South Wales, Australia

Samantha Soe, BAppSci

Department of Neurophysiology, The Children's Hospital at Westmead, Westmead, New South Wales, Australia

Andrew F. Bleasel, PhD

Department of Neurophysiology, The Children's Hospital at Westmead, Westmead, New South Wales, Australia

John A. Lawson, PhD

School of Women's and Children's Health, University of New South Wales, Sydney, New South Wales, Australia, Department of Neurology, Sydney Children's Hospital, Randwick, New South Wales, Australia

Ann M.E. Bye, MD

School of Women's and Children's Health, University of New South Wales, Sydney, New South Wales, Australia, a.bye{at}unsw.edu.au, Department of Neurology, Sydney Children's Hospital, Randwick, New South Wales, Australia

Previous studies of benign rolandic epilepsy have reported improvement in cognitive functioning over time. Their focus was the impact of paroxysmal electroencephalographic (EEG) activity on neuropsychologic function. Comprehensive longitudinal language assessment has not previously been undertaken. In a cross-sectional study, we demonstrated that some children with benign rolandic epilepsy have difficulties in verbal and visual memory and phonologic awareness. The current study evaluated a subgroup longitudinally to determine if difficulties improved. Twenty-eight patients underwent comprehensive longitudinal neuropsychologic and language assessments. The clinical features evaluated included seizure frequency, absolute age, medications, and a follow-up EEG. Differences in performance were analyzed using t-tests. Improvement in cognitive functioning, particularly in the areas of verbal memory, receptive language ability, and phonemic manipulation, was demonstrated. Visual memory and aspects of phonologic awareness showed no change. The improvements were not related to the clinical variables. It is important to recognize cognitive difficulties in children with benign rolandic epilepsy. Some difficulties can resolve; however, continued monitoring, particularly in areas of visual memory and phonologic awareness, is required. (J Child Neurol 2006;21:518—522; DOI 10.2310/7010.2006.00138).

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