RT Journal Article
T1 Cognitive and behavioral profiles of pediatric surgical candidates with frontal and temporal lobe epilepsy
A1 Esteso Orduña, Borja
A1 Fournier del Castillo, María de la Concepción
A1 Cámara Barrio, Silvia
A1 García Fernández, Marta
A1 Andrés Esteban, Eva María
A1 Álvarez-Linera Prado, Juan
A1 Budke, Marcelo
A1 Maldonado Belmonte, María Jesús
A1 González Marqués, Javier
A1 Pérez Jiménez, María Ángeles
AB Background We aimed to prospectively analyze memory and executive and social cognitive functioning in patients with drug-resistant frontal lobe epilepsy (FLE) and temporal lobe epilepsy (TLE) with focal lesions and isolate the impact of intellectual ability on specific deficits. MethodsA neuropsychological evaluation was performed in 23 children with FLE, 22 children with TLE, and 36 healthy pediatric controls (HCs). Patients in the epilepsy groups had a range of lesions, including low-grade epilepsy-associated tumors (LEAT), focal cortical dysplasia (FCD) type II, and mesial temporal sclerosis (MS).ResultsThere were no significant differences between children with FLE and TLE regarding memory, executive, or social cognitive functioning. General Ability Index (GAI) was a predictor of memory, executive function, and social cognition scores and was influenced by age at onset, duration of epilepsy, and number of antiepileptic drugs (AEDs) prescribed at the time of assessment. Working Memory Index scores of patients with TLE, which measure verbal mnesic processing, were significantly lower than those of HCs and patients with TLE. The greatest differences in both clinical groups compared to HCs were recorded in cognitive executive functions, and patients with FLE had lower scores in this domain. Regarding behavioral executive functions, patients with TLE presented impaired emotional control and impulse inhibition and patients with FLE exhibited decreased flexibility.ConclusionConsistent with previous research, our findings provide further detailed evidence of small differences in cognitive performance among children with FLE and TLE. These differences emerge on analysis of the factors with which deficits are associated.
PB Elsevier
SN 1525-5050
YR 2021
FD 2021-04
LK https://hdl.handle.net/20.500.14352/99744
UL https://hdl.handle.net/20.500.14352/99744
LA eng
NO Esteso Orduña, B., Fournier del Castillo, M.C., Cámara Barrio, S., García Fernández, M., Andrés Esteban, E.M., Álvarez-Linera Prado, J., Budke, M., Maldonado Belmonte, M.J., González Marqués, J. & Pérez Jiménez, M.A,.
DS Docta Complutense
RD 12 abr 2025