Executive functions in children with frontal and temporal lobe epilepsy

Even though frontal lobe epilepsy (FLE) is a relatively common seizure type, no formal psychometric studies of children with FLE have been reported. We compared 12 children with FLE and 15 children with temporal lobe epilepsy (TLE) on neuropsychological tests of attention, memory, executive function...

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Bibliographic Details
Published in:Journal of the International Neuropsychological Society 2002-07, Vol.8 (5), p.623-632
Main Authors: Culhane-Shelburne, Kathleen, Chapieski, Lynn, Hiscock, Merrill, Glaze, Daniel
Format: Article
Language:English
Subjects:
Activities of Daily Living
Adaptation, Psychological - physiology
Adolescent
Attention - physiology
Behavior - physiology
Child
Children
Cognition - physiology
Communication
Electroencephalography
Epilepsy
Epilepsy, Frontal Lobe - psychology
Epilepsy, Temporal Lobe - psychology
Executive function
Female
Frontal lobe
Humans
Male
Memory - physiology
Neuropsychological Tests
Psychomotor Performance - physiology
Schools
Socialization
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Summary:Even though frontal lobe epilepsy (FLE) is a relatively common seizure type, no formal psychometric studies of children with FLE have been reported. We compared 12 children with FLE and 15 children with temporal lobe epilepsy (TLE) on neuropsychological tests of attention, memory, executive functioning, and adaptive functioning. The results of these tests indicated that the children with FLE had deficits in planning and executive functions, whereas their verbal and nonverbal memory was intact. The opposite pattern was observed in children with TLE. Measures of executive functioning and impulse control were the best predictors of adaptive functioning. The findings suggest that children with FLE have a pattern of cognitive deficits that differs markedly from the pattern seen in children with TLE. Children with FLE have prominent deficits in executive functioning that appear to be related to poor behavioral adaptation.
ISSN:1355-6177
1469-7661
DOI:10.1017/S1355617702801308