Abstracts

Rationale: Benign Rolandic Epilepsy (BRE) may be associated with cognitive and behavioral problems. We aimed to study psychiatric, behavioral and cognitive profile of patients with BRE comparing the effects of co-morbid psychiatric conditions. Methods: The study group consisted of 32 (24 male, aged, mean: 8,5±1,74; range: 5-11 ) children with BRE. Psychiatric evaluation was done based on DSM-IV-TR criteria. Neuropsychological assessment includes Full Scale Intelligence Quotient-FSIQ (Wechsler Intelligence Scale for Children-Revised) attention and executive functions (Wisconsin Card Sorting Test; Visual Memory Span, subtest of Wechsler Memory Scale-Revised; Stroop Task; Category Fluency) and verbal learning and memory function (California Verbal Learning Test, CVLT). Conner’s Teacher (CTRS-28) and Parent (CPRS-48) Scales were used to assess behavioral outcome. Results: Attention Deficit Hyperactive Disorder (ADHD) was diagnosed in 17 (53%) (10 mixed, 4 inattentive and 3 hyperactive type) children. A symptom of learning disability (LD) was found in 13 (41%) patients, and specific LD in 5 (16%) patients. The patients co-morbid with ADHD/LD had significantly low performance on California Verbal Learning Test measures ( List A Recall, Trial 5 and Total Recall, Trials 1-5; Short and Long Delay Cued Recall; Long Delay Free Recall; Recognition Hits and the Index of Discriminability; Free Recall Intrusions; Learning Slope; Recall Consistency) and on Category Naming B test (animal-fruit fluency) performance than the patients with only BRE (p<.05). Behaviorally, Conner's Teacher and Family Questionnaire’s scores were significantly higher in BRE+ADHD/LD group than in only BRE group.