Patterns of language and auditory dysfunction in 6-year-old children with epilepsy

In a previous study we reported difficulty with expressive language and visuoperceptual ability in preschool children with epilepsy and otherwise normal development. The present study analysed speech and language dysfunction for each individual in relation to epilepsy variables, ear preference, and...

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Bibliographic Details
Published in:Upsala Journal of Medical Sciences 2009-01, Vol.114 (2), p.82-89
Main Authors: Selassie, Gunilla Rejnö-Habte, Olsson, Ingrid, Jennische, Margareta
Format: Article
Language:English
Subjects:
Auditory dysfunction
benign childhood epilepsy
centrotemporal spikes
Child
childhood epilepsy
Cohort Studies
dichotic listening
Epilepsy - complications
Epilepsy - physiopathology
Female
Hearing Disorders - complications
Hearing Disorders - physiopathology
Humans
impairment
landau-kleffner-syndrome
Language
language dysfunction
Male
MEDICIN
MEDICINE
Motor Activity
Original
Oto-rino-laryngologi
Otorhinolaryngology
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Summary:In a previous study we reported difficulty with expressive language and visuoperceptual ability in preschool children with epilepsy and otherwise normal development. The present study analysed speech and language dysfunction for each individual in relation to epilepsy variables, ear preference, and intelligence in these children and described their auditory function. Twenty 6-year-old children with epilepsy (14 females, 6 males; mean age 6:5 y, range 6 y-6 y 11 mo) and 30 reference children without epilepsy (18 females, 12 males; mean age 6:5 y, range 6 y-6 y 11 mo) were assessed for language and auditory ability. Low scores for the children with epilepsy were analysed with respect to speech-language domains, type of epilepsy, site of epileptiform activity, intelligence, and language laterality. Auditory attention, perception, discrimination, and ear preference were measured with a dichotic listening test, and group comparisons were performed. Children with left-sided partial epilepsy had extensive language dysfunction. Most children with partial epilepsy had phonological dysfunction. Language dysfunction was also found in children with generalized and unclassified epilepsies. The children with epilepsy performed significantly worse than the reference children in auditory attention, perception of vowels and discrimination of consonants for the right ear and had more left ear advantage for vowels, indicating undeveloped language laterality.
ISSN:0300-9734
2000-1967
1502-4725
2000-1967
DOI:10.1080/03009730802635927