ABSTRACT
Objetivos: Revisar os aspectos psicológicos neuropsicológicos da epilepsia do lobo frontal na infância. Fonte de Dados: Revisão de literatura, utilizando principalmente, artigos de jornais indexados no Scielo e Mdline. Síntese de Dados: Crises epiléticas do lobo frontal na infância, aspectos neuropsicológicos e psicológicos da epilepsia do lobo frontal e suas repercusões são abordados e discutidos. Conclusões: Na criança, a epilepsia do lobo forntal pode gerar distúrbios psicológicos e neuropsicológicos, como déficits em funções executivas (cognição, planejamento, linguagem, memória a atenção), alterações compotamentais (controle de impulsos e agressividade), manifestações de crises epilépticas comportamentais e piora da qualidade de vida. Suas alterações podem ser confudidas com doenças psiquiátricas, reforçando a importância do diagnóstico diferencial e da avaliação neuropsicológica.
Subject(s)
Humans , Male , Female , Child , Nervous System Diseases , Epilepsy, Frontal Lobe/complications , Neurobehavioral Manifestations , Behavioral SymptomsABSTRACT
Tongue biting associated with tonic/clonic movements of the limbs is common in epileptic patients, however nocturnal tongue biting as the only manifestation of epilepsy is rare. It can be found in frontal lobe epilepsy. Two cases with the same manifestation of nocturnal tongue biting were presented. One was the result of parasomnias-rhythmic movement disorders (RMD) and the other was a result of nocturnal frontal lobe epilepsy. The definite diagnosis of these abnormal nocturnal events was documented by prolonged EEG monitoring and polysomnography with simultaneous video studies. To our knowledge, RMD presenting with nocturnal tongue biting has never been reported in Thailand. Even in the foreign journals it has rarely been reported. It is crucial to make a definite diagnosis of RMD and nocturnal epilepsy to avoid overtreatment in the former and undertreatment in the latter. Symptomatology, diagnostic approach with therapy of these disorders were reviewed.