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The Timing, Nature, and Range of Neurobehavioral Comorbidities in Juvenile Myoclonic Epilepsy
| Content Provider | Scilit |
|---|---|
| Author | Almane, Dace N. Jones, Jana E. McMillan, Taylor Stafstrom, Carl E. Hsu, David A. Seidenberg, Michael Hermann, Bruce P. Oyegbile, Temitayo O. |
| Copyright Year | 2019 |
| Description | Journal: Pediatric neurology Background Accumulating evidence suggests that considerable cognitive and psychiatric comorbidity is associated with juvenile myoclonic epilepsy, for which the etiology remains controversial. Our goal was to comprehensively characterize the status of multiple neurobehavioral comorbidities in youth with new- or recent-onset juvenile myoclonic epilepsy, before effects of chronic seizures and medications. Methods A total of 111 children aged eight to 18 years (41 new- or recent-onset juvenile myoclonic epilepsy and 70 first-degree cousin controls) underwent neuropsychological assessment (attention, executive, verbal, perceptual, speed), structured review of need for supportive academic services, parent reports of behavior and executive function (Child Behavior Checklist and Behavior Rating Inventory of Executive Function), and formal structured psychiatric interview and diagnosis (Kiddie Schedule for Affective Disorders and Schizophrenia–Present and Lifetime Version). Results Children with juvenile myoclonic epilepsy performed worse than controls across all tested cognitive domains (F(1,105) = 3.85, P < 0.01), utilized more academic services (47% versus 19%, P = 0.002), had more parent-reported behavioral problems and dysexecutive function with lower competence (P < 0.001), and had a higher prevalence of current Axis I diagnoses (attention-deficit/hyperactivity disorder, depression, and anxiety; 54% versus 23%, P = 0.001). Academic and psychiatric problems occurred antecedent to epilepsy onset compared with comparable timeline in controls. Conclusion Comprehensive assessment of cognitive, academic, behavioral, and psychiatric comorbidities in youth with new- or recent-onset juvenile myoclonic epilepsy reveals a pattern of significantly increased neurobehavioral comorbidities across a broad spectrum of areas. These early evident comorbidities are of clear clinical importance with worrisome implications for future cognitive, behavioral, and social function. It is important for health care providers to avoid delays in intervention by assessing potential comorbidities early in the course of the disorder to optimize their patients' social, academic and behavioral progress. |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6752993/pdf http://www.pedneur.com/article/S0887899419300372/pdf |
| Ending Page | 52 |
| Page Count | 6 |
| Starting Page | 47 |
| ISSN | 08878994 |
| e-ISSN | 18735150 |
| DOI | 10.1016/j.pediatrneurol.2019.03.011 |
| Journal | Pediatric neurology |
| Volume Number | 101 |
| Language | English |
| Publisher | Elsevier BV |
| Publisher Date | 2019-03-18 |
| Access Restriction | Open |
| Subject Keyword | Journal: Pediatric neurology Psychiatry and Mental Health Juvenile Myoclonic Epilepsy Academic Issues Psychiatric Comorbidities Antecedent To Seizures |
| Content Type | Text |
| Resource Type | Article |
| Subject | Neurology Neurology (clinical) Pediatrics, Perinatology and Child Health Developmental Neuroscience |
