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Benign childhood epilepsy with centrotemporal spikes (BECTS) and developmental co-ordination disorder
Affiliation:1. Dyscovery Centre, University of South Wales, Newport, UK;2. CUBRIC, School of Psychology, Cardiff University, Cardiff, UK;3. Schools of Pharmacy and Psychology, University of Auckland, Auckland, New Zealand;4. Department of Child Health, University Hospital of Wales, Cardiff, UK;5. Welsh Epilepsy Centre, University Hospital of Wales, Cardiff, UK;1. Harvard Medical School, Boston, MA, USA;2. Ignace Deen Hospital, Department of Neurology, Conakry, Guinea;3. Massachusetts General Hospital, Department of Neurology, Boston, MA, USA;4. University of Washington, Department of Biostatistics, Seattle, WA, USA;5. Johns Hopkins, Bloomberg School of Public Health, Baltimore, MD, USA;1. Laboratory of Psychiatric Neuroimaging (LIM-21), Department and Institute of Psychiatry, Faculty of Medicine, University of São Paulo, São Paulo, SP, Brazil;2. Center for Interdisciplinary Research on Applied Neurosciences (NAPNA), University of São Paulo, São Paulo, SP, Brazil;3. Laboratory of Clinical Neurophysiology, Department of Psychiatry, Faculty of Medicine, University of São Paulo, São Paulo, SP, Brazil;4. Brain Institute and Department of Neurology, Miami Children''s Hospital, Miami, FL, USA;5. Department of Neurology, Wertheim College of Medicine, Florida International University, Miami, FL, USA;1. School of Psychology, The University of Sydney, NSW 2006, Australia;2. T. Y. Nelson Department of Neurology and Neurosurgery, The Children''s Hospital at Westmead, Sydney, Australia;3. Children''s Hospital Education Research Institute, The Children''s Hospital at Westmead, Sydney, Australia;4. Discipline of Paediatrics and Child Health, Faculty of Medicine, The University of Sydney, Australia;5. Department of Neurology, Sydney Children''s Hospital, Sydney, Australia;6. Department of Psychology, Sydney Children''s Hospital, Sydney, Australia;7. School of Psychological Sciences, Australian College of Applied Psychology, Sydney, Australia;1. Ghent University Hospital, Child Rehabilitation Centre K7, Corneel Heymanslaan 10, 9000 Ghent, Belgium;2. Ghent University, Department of Experimental Psychology, Faculty of Psychology and Educational Sciences, Henri Dunantlaan 2, 9000 Ghent, Belgium;3. Ghent University, Biostatistics Unit, Department of Public Health, Corneel Heymanslaan 10, 9000 Ghent, Belgium;4. Ghent University Hospital, Department of Neuroradiology, Corneel Heymanslaan 10, 9000 Ghent, Belgium;5. Australian Catholic University, Mary McKillop Institute for Health Research Level 5, 215 Spring Street, Melbourne, VIC 3000, Australia
Abstract:
BackgroundBenign epilepsy with centro-temporal spikes (BECTS) is a common childhood epilepsy syndrome also known as Rolandic Epilepsy (RE). Neurocognitive phenotypes have been described with greater focus on attention, reading and language domains but there have been far fewer studies focusing on motor functioning. This study included measures of motor, language and cognition in order to investigate the range, degree and pattern of difficulties associated with BECTS in a case series of children, but with a particular emphasis on motor skills.MethodTwenty-one children aged between 8 and 16 years with a diagnosis of BECTS were asked to complete standardized assessments for language, cognition, motor functioning and handwriting.ResultsWhen measuring across language, cognitive and motor domains, 19 (90.48%) of the twenty-one children with a diagnosis of BECTS showed some difficulties on at least one area of functioning using standardized assessment tests. Of particular note nearly half (47.62%) of the children had some difficulties in one or more areas of motor functioning.DiscussionChildren with BECTS have a heterogeneous pattern of neurocognitive impairments. The presence of motor difficulties (DCD) should be considered in all children routinely seen in clinical settings with BECTS and included in any screening processes.
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