000 03109cam a2200301 4500500
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041 _afre
042 _adc
100 1 0 _aSheppard, Emilie
_eauthor
700 1 0 _a Lalancette, Eve
_eauthor
700 1 0 _a Thébault-Dagher, Fanny
_eauthor
700 1 0 _a Lafontaine, Marc-Philippe
_eauthor
700 1 0 _a Knoth, Inga Sophia
_eauthor
700 1 0 _a Gravel, Jocelyn
_eauthor
700 1 0 _a Lippé, Sarah
_eauthor
245 0 0 _aCognitive and behavioural development in children presenting with complex febrile seizures: at onset and school age
260 _c2021.
500 _a19
520 _aObjective. Our goal was to assess development, cognition and behaviour following an initial complex febrile seizure (FS), at onset and school age, in the context of known risk factors for cognitive development.Methods. Two cohorts were recruited. Thirty-five infants with an initial complex FS were assessed within the first year post-seizure and compared to 30 controls (simple FS) based on measures of cognitive, motor and language development, behaviour and emotions. Additionally, 19 school-age children with previous complex FS (11 multiple, eight prolonged) were assessed and compared to 19 controls (simple FS) based on measures of intelligence, learning/memory, executive functioning, behaviour and emotions.Results. Within the first year post-onset, infants with complex FS did not significantly differ from controls based on developmental measures. Seizure duration and age at seizure onset did not impact developmental outcome. School-age children with complex FS showed unaltered global intelligence, but lower executive functioning, compared to controls. Children with prolonged FS also showed evidence of a lower level of learning and memory abilities. Neuropsychological scores correlated with seizure duration. Children with complex FS showed more attentional problems and anxious/depressed symptomatology at onset and school age, and more hyperactivity at school age.Significance. Infants with complex FS seemed to show normal development within the first year post-seizure onset. However, challenges in executive functioning, learning and memory at school age were found in children with a history of FS. Hence, at school age, cognitive challenges cannot be excluded based on undifferentiated early cognitive development, and may occur even in the absence of the most severe form of FS (i.e., FSE). Beyond the limits of this study (i.e., small sample size, use of parental questionnaires for emotional/behavioural outcome, absence of focal cases in the school-age cohort), our results suggest that a follow-up is necessary beyond the early preschool years in order to understand the long-term outcome.
690 _aattention
690 _amemory
690 _alearning
690 _aconvulsions
690 _aexecutive functions
690 _abehaviour
786 0 _nEpileptic Disorders | Vol 23 | 2 | 2021-02-01 | p. 325-336 | 1294-9361
856 4 1 _uhttps://shs.cairn.info/revue-epileptic-disorders-2021-2-page-325?lang=en&redirect-ssocas=7080
999 _c611569
_d611569