Behavioral problems have a high rate in patients with temporal lobe epilepsy but there have been few detailed reports about pediatric patients. We report two children with temporal lobe epilepsy who manifest behavior ...Behavioral problems have a high rate in patients with temporal lobe epilepsy but there have been few detailed reports about pediatric patients. We report two children with temporal lobe epilepsy who manifest behavior abnormality remaining after surgery. One child developed complex partial seizures at 10 years and 3 months of age caused by a left temporal ganglioglioma and manifested behavioral problems of lability, aggression, impulsivity and disinhibition. Seizures were relieved after temporal lobe resection at 10 years and 8 months of age but behavioral symptoms had been remained. The second child developed epilepsy at 3 years of age. He manifested similar behavioral problems at 7 years old. Seizures were relieved after temporal lobe resection at 13 years old but behavioral symptoms had been remained. Their courses suggested that aggressive behavior might be associated with not only temporal lesion but also other lesions such as frontal lobe or neural circuitry between both lobes. It is important to inform families of patients that behavioral disorders may not improve after epileptic surgery.展开更多
目的探究农村地区儿童身体活动和屏幕时间对情绪行为问题的影响。方法基于小型出生队列,对射阳县10岁儿童及家长进行调查。采用长处与困难问卷(strength and difficulties questionnaire,SDQ)(家长版)评估儿童情绪行为问题,采用WHO学龄...目的探究农村地区儿童身体活动和屏幕时间对情绪行为问题的影响。方法基于小型出生队列,对射阳县10岁儿童及家长进行调查。采用长处与困难问卷(strength and difficulties questionnaire,SDQ)(家长版)评估儿童情绪行为问题,采用WHO学龄儿童健康行为调查自评问卷调查身体活动与屏幕时间,探究农村儿童身体活动和屏幕时间与情绪行为问题的关联。结果队列共纳入450名儿童,周内和周末身体活动不足的分别占63.1%和51.8%,周内和周末屏幕时间超标的分别占6.9%和28.0%;情绪行为问题异常比例从高到低分别为同伴交往问题(28.9%)、多动/注意缺陷(15.6%)、情绪症状(8.7%)、亲社会行为(7.6%)和品行问题(6.9%),其中男生的多动/注意缺陷(18.8%)和亲社会行为(10.8%)异常比例高于女生(11.9%、3.8%),差异均有统计学意义(P值均<0.05)。多因素分析显示,周内身体活动不足的儿童更有可能出现同伴交往问题(OR=1.61,95%CI:1.01~2.58),周末屏幕时间超标的儿童在多动/注意缺陷(OR=2.42,95%CI:1.38~4.25)和亲社会行为(OR=3.03,95%CI:1.41~6.47)维度中更有可能出现异常。结论同伴交往问题和多动/注意缺陷是农村地区儿童主要的情绪行为问题,周内身体活动和周末屏幕时间可能会影响儿童心理健康。展开更多
文摘Behavioral problems have a high rate in patients with temporal lobe epilepsy but there have been few detailed reports about pediatric patients. We report two children with temporal lobe epilepsy who manifest behavior abnormality remaining after surgery. One child developed complex partial seizures at 10 years and 3 months of age caused by a left temporal ganglioglioma and manifested behavioral problems of lability, aggression, impulsivity and disinhibition. Seizures were relieved after temporal lobe resection at 10 years and 8 months of age but behavioral symptoms had been remained. The second child developed epilepsy at 3 years of age. He manifested similar behavioral problems at 7 years old. Seizures were relieved after temporal lobe resection at 13 years old but behavioral symptoms had been remained. Their courses suggested that aggressive behavior might be associated with not only temporal lesion but also other lesions such as frontal lobe or neural circuitry between both lobes. It is important to inform families of patients that behavioral disorders may not improve after epileptic surgery.
文摘目的探究农村地区儿童身体活动和屏幕时间对情绪行为问题的影响。方法基于小型出生队列,对射阳县10岁儿童及家长进行调查。采用长处与困难问卷(strength and difficulties questionnaire,SDQ)(家长版)评估儿童情绪行为问题,采用WHO学龄儿童健康行为调查自评问卷调查身体活动与屏幕时间,探究农村儿童身体活动和屏幕时间与情绪行为问题的关联。结果队列共纳入450名儿童,周内和周末身体活动不足的分别占63.1%和51.8%,周内和周末屏幕时间超标的分别占6.9%和28.0%;情绪行为问题异常比例从高到低分别为同伴交往问题(28.9%)、多动/注意缺陷(15.6%)、情绪症状(8.7%)、亲社会行为(7.6%)和品行问题(6.9%),其中男生的多动/注意缺陷(18.8%)和亲社会行为(10.8%)异常比例高于女生(11.9%、3.8%),差异均有统计学意义(P值均<0.05)。多因素分析显示,周内身体活动不足的儿童更有可能出现同伴交往问题(OR=1.61,95%CI:1.01~2.58),周末屏幕时间超标的儿童在多动/注意缺陷(OR=2.42,95%CI:1.38~4.25)和亲社会行为(OR=3.03,95%CI:1.41~6.47)维度中更有可能出现异常。结论同伴交往问题和多动/注意缺陷是农村地区儿童主要的情绪行为问题,周内身体活动和周末屏幕时间可能会影响儿童心理健康。
