Abstracts

Сognitive Impairment of Temporal Lobe Epilepsy and Some Risk Factors

Abstract number : 1.482
Submission category : 11. Behavior/Neuropsychology/Language / 11A. Adult
Year : 2023
Submission ID : 1284
Source : www.aesnet.org
Presentation date : 12/2/2023 12:00:00 AM
Published date :

Authors :
Presenting Author: Ulziizaya Sodov, candidate for Master degree – Intermed Hospital

Khishigsuren Zuunnast, Teacher – Head of psychiatry, Psychiatry, MNUMS; Tovuudorj Avirmed, teacher – Head of Department, Neurology, MNUMS

Rationale:
Among the clinical forms of epilepsy, sixty percent are focal epilepsy and forty percent are temporal lobe epilepsy (TLE).1 Seizures are one of the main symptoms of any form of epilepsy and long-term use of anti-seizure medication and increased seizure frequency can lead to a decline in memory, cognition, daily self-care, and the loss of knowledge, skills, and experience acquired throughout life. Furthermore, this creates the conditions for behavior change.

Methods:
A cross-sectional.

Results:
The mean age of the respondents was 43.7±8.2 years, the mean age of onset of seizure was 14.5±9.4, and 26 (52%) were male and 24 (48%) were female. The common etiologies included brain structure changes (22%), meningitis (18%), and unknown (48%). The most common symptoms of cognitive changes were memory impairment (66%) and attention deficit (52%). The memory impairment increased by 1.31% with age (P = 0.04).

Conclusions:
In temporal lobe epilepsy, cognitive impairment is prevalent and the age of the patient has a major effect on memory impairment. There is a significant difference in the aura, postictal psychosis, and delirium in temporal lobe epilepsy (p = 0.01). A high frequency of seizure is a risk factor for behavioral changes (p = 0.01) and has a greater influence on writing and drawing skills (p = 0.02).

Funding:
National University of Medical Sciences 
National Center of Mental Health

Behavior