Cognitive and Behavioural Disorders of Epileptic Origin in Children
Notice bibliographique
Résumé
Cognitive and Behavioural Disorders of Epileptic Origin in Children, by Thierry Deonna and Eliane Roulet-Perez, West Nyack, NY, Cambridge University Press, 2005, 241 pp., $90.00 hardcover. This is number 168 of the Clinics in Developmental Medicine series from Mac Keith Press, and is a worthwhile addition to a very useful set of reference books and reviews. Its focus on the developmental and behavioral aspects of epilepsy should be of interest to many of us involved in Developmental-Behavioral Pediatrics, whether we are directly involved in an epilepsy service or not. The authors have long and extensive personal experience both in the clinical care of children with epilepsy and in research on the topic. They make a strong case for the possibility that some cognitive-behavioral disorders in some children are the result of epilepsy, and may therefore be treatable with anticonvulsants (or surgery) of one kind or another. The book includes both an extensive review of the literature and numerous clinical anecdotes or case examples that illustrate and enhance the authors' arguments. They emphasize that this approach does not replace more traditional scientific approaches using groups randomized to intervention, but may give clues that can direct future research of this more rigorous type (the foreword by Jean Aicardi, one of the giants in the field of childhood epilepsy, presents a convincing argument in support of this approach). The over-riding theme of the book is that epilepsy can directly affect brain function (both chronically and intermittently) and may therefore have a direct effect on behavior in addition to that mediated through psychosocial and family stresses. Their case is made convincingly, given the authors' evident experience in the area and strong research background. The length of follow-up and richness of assessment data on individual cases in impressive. I was asked to comment on the book's sensitivity to issues of culture, and there are no specific cultural references in the book. There are, however, numerous comments in the case examples that indicate the authors' support for families in the difficult choices they must make regarding investigation and treatment (cases are included in which the "research protocol" was breached: incomplete evaluations, refusal or discontinuation of therapy, etc). This book can be read from beginning to end, as it is organized in a logical order with successive chapters building on the previous. It is well written and engaging. There are, however useful descriptive chapter headings for the reader looking for reference to a particular issue (epilepsy surgery, specific epilepsy syndromes, educational aspects, etc). There is a brief appendix listing neuropsychologic tests, and a reasonably up-to-date reference list. One of the reasons given for this book's "anecdotal" approach is that children with these conditions are uncommon and each clinical situation is unique. The general issues raised by the cases, however, arise fairly frequently in the assessment and management of children with complex developmental-behavioral disorders: the management of recognized epilepsy paying attention to cognitive side-effects; the assessment of children with intermittent dysfunction; the investigation and treatment of children with a history of regression. Although the authors do not give definitive answers to these difficult clinical problems, they present a logical and reasonable approach that is grounded both in research literature and extensive clinical experience. Keith J. Goulden, M.D. Division of Neurodevelopmental/Neuromotor Pediatrics Glenrose Rehabilitation Hospital and University of Alberta Edmonton, Alberta
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».