PMID- 23057113
OWN - NLM
STAT- MEDLINE
DCOM- 20121101
LR  - 20191210
IS  - 0013-9580 (Print)
IS  - 0013-9580 (Linking)
VI  - 36 Suppl 1
DP  - 1995
TI  - Epilepsy, learning, and behavior in childhood.
PG  - S58-63
AB  - Several major issues exist with regard to epilepsy and learning in childhood. A 
      small subgroup of children have a decreasing I.Q. In addition, a high proportion 
      of children with epilepsy, possibly one half, have some schooling difficulties. 
      Learning problems may be a consequence of the epilepsy or a result of associated 
      factors. It is important to distinguish between the slowing of acquisition of 
      skills and actual loss of skills; the practical implications for the child and 
      family are very different in these two situations. In the very small proportion 
      of children in whom actual loss of skills occurs, it is essential to seek a 
      cause, because a cause can usually be identified and may require specific 
      management. The importance of distinguishing between state-dependent, potentially 
      reversible intellectual impairment and permanent impairment cannot be 
      overemphasized. State-dependent intellectual impairment, e.g., arising from 
      ongoing nonconvulsive status epilepticus (NCSE) or antiepileptic drug (AED) 
      toxicity, must be identified and every effort made to eliminate it. Studies at St 
      Piers Lingfield have shed light on these issues although the answers to many of 
      the questions remain incomplete. Educational difficulty is among the factors that 
      may affect behavior. However, there are many other causes for behavioral 
      disturbance in the child with epilepsy. A specific framework for assessing the 
      child with epilepsy and behavioral disturbance allows the cause or causes of the 
      behavioral disturbance to be identified and managed in a rational way.
FAU - Besag, F M
AU  - Besag FM
AD  - Institute of Epileptology and St. Piers Lingfield, Lingfield, Surrey, UK.
LA  - eng
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Epilepsia
JT  - Epilepsia
JID - 2983306R
SB  - IM
MH  - Child
MH  - Child Behavior Disorders/*etiology
MH  - Child, Preschool
MH  - Epilepsy/*complications/*psychology/therapy
MH  - Humans
MH  - Learning Disabilities/*etiology
EDAT- 1995/01/01 00:00
MHDA- 2012/11/02 06:00
CRDT- 2012/10/13 06:00
PHST- 2012/10/13 06:00 [entrez]
PHST- 1995/01/01 00:00 [pubmed]
PHST- 2012/11/02 06:00 [medline]
AID - 10.1111/j.1528-1157.1995.tb01654.x [doi]
PST - ppublish
SO  - Epilepsia. 1995;36 Suppl 1:S58-63. doi: 10.1111/j.1528-1157.1995.tb01654.x.