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Arq. neuropsiquiatr ; 71(6): 380-384, jun. 2013. tab
Article in English | LILACS | ID: lil-677606

ABSTRACT

This study evaluated the sequential motor manual actions in children with benign focal epilepsy of childhood with centrotemporal spikes (BECTS) and compares the results with matched control group, through the application of Luria's fist-edge-palm test. The children with BECTS underwent interictal single photon emission computed tomography (SPECT) and School Performance Test (SPT). Significant difference occurred between the study and control groups for manual motor action through three equal and three different movements. Children with lower school performance had higher error rate in the imitation of hand gestures. Another factor significantly associated with the failure was the abnormality in SPECT. Children with BECTS showed abnormalities in the test that evaluated manual motor programming/planning. This study may suggest that the functional changes related to epileptiform activity in rolandic region interfere with the executive function in children with BECTS.

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Esse estudo avaliou ações motoras manuais sequenciais em crianças com epilepsia focal benigna da infância com descarga centrotemporal (EBICT) e comparou os resultados com o grupo controle pareado, através do teste de Lúria (punho-lado-palma). As crianças com EBICT realizaram single photon emission computed tomography (SPECT) interictal e Teste de Desempenho Escolar (TDE). Foram encontradas diferenças significativas entre os dois grupos nas atividades motoras de três movimentos iguais e três movimentos diferentes. As crianças com piores resultados no TDE e com SPECT alterado apresentaram mais erros no teste de imitação manual. Crianças com epilepsia fracassaram nos testes de avaliação motora que envolvem programação/planejamento. Esse estudo sugere que mudanças funcionais relacionadas à atividade epileptiforme na região rolândica interfere com as funções executivas de crianças com EBICT.

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Subject(s)
Child , Female , Humans , Male , Cerebral Cortex/physiopathology , Epilepsies, Partial/physiopathology , Motor Activity/physiology , Psychomotor Performance/physiology , Case-Control Studies , Cognition/physiology , Neuropsychological Tests , Tomography, Emission-Computed, Single-Photon
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