THE VALUE OF P300 IN JUDGING THE COGNITIVE IMPAIRMENTS IN EPILEPTIC CHILDREN

Cai LY, Zhou MZ, Deng YZ, Xu SJ, Li WJ, Wang RL

Jiangxi Children’s Hospital, Nanchang, China

 

Objective: To study the value of P300 of Event-related Potential (ERP) in judging the cognitive impairments in epileptic children.

Methods: The WISC-CR and P300 of ERP were used to assess the cognition in 106 epileptic children and 40 normal children. P300 latency and amplitude evoked by “oddball” stimulation were compared and analyzed with WISC-CR.

Results: P300 latency and amplitude in normal group were 346.78±23.22 and 13.68±6.44. There was an remarked difference in P300 latency between normal group and epilepsy group (P<0.01). But there was no significant difference in P300 amplitude between them (P>0.05). The analysis of linear correlation showed that the FIQ had a negative correlation with the P300 latency (r=-0.57,P<0.01). FIQ and P300 latency were no significant difference between before and after 6 months or 2.5 years treatment of patients with a routine dosage of PB and CBZ.However,the abnormal rate of P300 in tonic-clonic seizures was 61.11%.

Conclusions: The prolonged P300 latency may be taken as an objective index to judge the cognition impairment in epileptic children. P300 test can avoid the influence of education and dialects on WISC-CR.

 

 
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