Development Profile in Neurocognitive functioning and Behavior of Children with Rolandic Epilepsy: A Follow-up Study
Laar, M.M.W.C.A. van de
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Rolandic epilepsy (RE) is the most common focal idiopathic epilepsy affecting children and is commonly perceived as benign due to its good prognosis. However, recent studies shown that children with RE may be at high risk to develop cognitive, behavioral and emotional difficulties. This study aimed to investigate the developmental profile in cognitive, behavioral and academic functioning one year after baseline on statistical and clinical level. A follow-up study of 32 children aged 4 to 14 years with Rolandic epilepsy were evaluated. Cognition and academic performances were assessed with a comprehensive neuropsychological test battery. Behavioral questionnaires filled in by parents and teachers were used to examine behavioral problems. The results showed an improvement in attention, reaction time and verbal short-term memory. Cognitive decline was demonstrated in reading ability, visual motor coordination and verbal working memory. Intelligence level was normal and did not change significantly. Performal intellectual abilities showed noticeable progress on clinical level. In conclusion, our findings confirm the importance of monitoring the developmental profile of children with RE epilepsy. Future research is necessary to determine the transitory nature of these findings and further patient treatment.