Journal of Pediatric Epilepsy 2017; 06(01): 019-030
DOI: 10.1055/s-0036-1584934
Review Article
Georg Thieme Verlag KG Stuttgart · New York

Neuropsychological Assessment of Infants, Toddlers, and Young Children with Epilepsy

Authors

  • Jennifer I. Koop

    1   Department of Neurology (Neuropsychology), Medical College of Wisconsin, Milwaukee, Wisconsin, United States
  • Michelle M. Loman

    1   Department of Neurology (Neuropsychology), Medical College of Wisconsin, Milwaukee, Wisconsin, United States
Further Information

Publication History

15 December 2014

21 March 2016

Publication Date:
01 July 2016 (online)

Preview

Abstract

Epilepsy is one of the most common neurological conditions affecting children, especially preschool-aged children 5 years and younger. Seizure onset early in life is often associated with epilepsy syndromes, but may also occur in the context of localization-related epilepsy associated with cerebral lesions. Early seizure onset, particularly when it occurs within the first years of life, is known to negatively impact cognitive, behavioral, and emotional functioning. In this highly at-risk population, neuropsychological evaluations assist in maximizing a child's likelihood of attaining optimal developmental outcomes. However, there are myriad factors and numerous interpretive challenges that must be taken into account when conducting evaluations in preschool-aged children with epilepsy. These clinical factors, developmental outcomes, and interpretive challenges are discussed and clinical recommendations are provided for this complex population.