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Journal of Child Neurology, Vol. 22, No. 7, 836-840 (2007)
DOI: 10.1177/0883073807304701

Temporal Lobe Epilepsy in Childhood: Comprehensive Neuropsychological Assessment

Catarina A. Guimarães, PhD

Department of Neurology, State University of Campinas, São Paulo

Li M. Li, MD, PhD

Department of Neurology, State University of Campinas, São Paulo

Patrícia Rzezak, BSc

Institute of Psychiatry, University of São Paulo Brazil

Daniel Fuentes, PhD

Institute of Psychiatry, University of São Paulo Brazil

Renata C. Franzon, MD, PhD

Department of Neurology, State University of Campinas, São Paulo

Maria Augusta Montenegro, MD, PhD

Department of Neurology, State University of Campinas, São Paulo

Fernando Cendes, MD, PhD

Department of Neurology, State University of Campinas, São Paulo

Sigride Thomé-Souza, MD

Institute of Psychiatry, University of São Paulo Brazil

Kette Valente, MD, PhD

Institute of Psychiatry, University of São Paulo Brazil

Marilisa M. Guerreiro, MD, PhD

Department of Neurology, State University of Campinas, São Paulo, mmg{at}fcm.unicamp.br

The neuropsychological features of children with temporal lobe epilepsy are not yet well defined. The aim of this study was to identify the neuropsychological deficits in children with temporal lobe epilepsy. We evaluated 25 patients and compared them with 25 normal children. All children underwent a comprehensive neuropsychological assessment. We found a significant difference in favor of the control group in the following measures: IQ; forward digit; Trail Making Test for Children B; Wisconsin Card Sorting Test; block design; Boston naming test, verbal fluency; and Wide Range Assessment of Memory and Learning verbal learning, visual learning, verbal memory, visual memory, delayed recall of verbal learning, delayed recall of stories, and recognition of stories. Our findings show that children with temporal lobe epilepsy present with several neuropsychological deficits, despite normal IQ. These findings point to a dysfunction of cerebral areas other than temporal lobe, particularly the frontal lobes.

Key Words: neuropsychology • epilepsy • temporal lobe epilepsy • memory • executive functions


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