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Clinical and neurophysiological risk factors of learning disabilities in different types of idiopathic focal epilepsy.

Authors
  • Bassiouny Mohamed, Al Amir1
  • Fawi, Gharib2
  • Wassel, Yasser3
  • Abdelhameed, Sania3
  • Mousa, Ahmed4
  • Hussein, Ghada4
  • Borai, Ahmed5
  • 1 Department of Neurology and Psychological Medicine, Faculty of Medicine, Sohag University Hospital, Sohag, Egypt. , (Egypt)
  • 2 Neurology Department, Sohag Faculty of Medicine, Sohag University, Sohag, Egyp.
  • 3 Department of Surgery, College of Medicine, King Khalid University, Abha, and from the Neurology Unit (Alhazzani), Department of Medicine, College of Medicine, King Saud university, Riyadh, Kingdom of Saudi Arabia. , (Saudi Arabia)
  • 4 Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia. , (Saudi Arabia)
  • 5 Faculty of Science, Suez University, Suez, Egypt. , (Egypt)
Type
Published Article
Journal
Iranian journal of child neurology
Publication Date
Jan 01, 2022
Volume
16
Issue
2
Pages
27–38
Identifiers
DOI: 10.22037/ijcn.v15i4.32071
PMID: 35497103
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Academic difficulties are common in epileptic children. A learning disability (LD) is a reduction in the learning capacity of children or the intellectual ability of adults, which is different from mental retardation or dementia. The participants were 56 patients, of whom 35 were males (62.5%), and 21 were females (37.5%). The participants attended the Neurology Outpatient Clinic, the Sohag University Hospital, between December 2016 and May 2017. Children with chronological age between 7 and 16 years with idiopathic focal and normal mental and motor developmental history were enrolled in this cross-sectional study. The Revised Quick Neurological Screening Test was used to assess different types of LD. LDs were present in 67.9% of our participants with a statistically significant association between LDs in one arm and younger age, earlier age of onset of epilepsy, frequent seizures, and seizure semiology, particularly of temporal lobe origin, in the other arm. In addition, left epileptic focus on EEG, prolonged treatment duration with antiepileptic drugs (AED), and polytherapy were significantly correlated with LDs. Many factors are significantly correlated with LDs in children with idiopathic focal epilepsy, like age of the patient, age of epilepsy onset, seizure semiology, prolonged AED treatment, and polytherapy.

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