Kognitive Defizite bei Kindern mit benigner Epilepsie des Kindesalters mit zentrotemporalen Spitzen

Zusammenfassung

Die Rolando-Epilepsie stellt das häufigste Epilepsiesyndrom im Kindesalter dar. Kognitive Defizite treten vor allem in den Bereichen Sprache, Aufmerksamkeit, Gedächtnis, Exekutivfunktionen, Motorik und den visuokonstruktiven Leistungen häufig auf. Vor allem die sprachlichen Leistungen und damit zusammenhängende spezifische Bereiche wie das dichotische Hören und auditorische (Dys-)Funktionen stehen im Mittelpunkt der aktuellen Forschung. Das Review stellt differenziert die zugehörigen Befunde dar, auch im Hinblick auf möglicherweise persistierende Störungen nach einer vollständigen Remission der Epilepsie. Die Rolando-Epilepsie tritt im Grundschulalter auf und kann so die schulischen Leistungen negativ beeinflussen. Ansätze einer möglichst frühen kognitiven Förderung dieser Kinder sind vor allem im Hinblick auf schulische Anforderungen notwendig.

Abstract

Benign rolandic epilepsy of childhood with centrotemporal spikes represents the most common epilepsy syndrome in childhood. This study addresses cognitive deficits in the following domains that are quite common: language, attention, memory, executive functions, motor functions and visual-constructive functions. Mainly language functions and their specific related domains like dichotic hearing, and auditory (dys-)functions are in the focus of recent research. This review provides a differentiated summary of empirical findings, also in terms of probably persisting deficits after remission of the epilepsy. An early intervention for this group of children is essential as rolandic epilepsy occurs within the age range of primary school and might therefore exert a noticeable negative influence on school achievements.

Schlüsselwörter

benigne Epilepsie des Kindesalters mit zentrotemporalen Spitzen - Rolando-Epilepsie - kognitive Defizite - Sprache

Key words

benign rolandic epilepsy of childhood with centrotemporal spikes - rolandic epilepsy - cognitive deficits - language

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