Neuropsychological assessment in pediatric epilepsy surgery: A French procedure consensus

IF 2.8 4区医学 Q2 CLINICAL NEUROLOGY Revue neurologique Pub Date : 2024-06-01 DOI:10.1016/j.neurol.2023.08.019

V. Laguitton , M. Boutin , H. Brissart , D. Breuillard , M. Bilger , N. Forthoffer , V. Guinet , S. Hennion , C. Kleitz , H. Mirabel , C. Mosca , S. Pradier , S. Samson , V. Voltzenlogel , M. Planton , M. Denos , C. Bulteau

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Abstract

Neuropsychological assessment is a mandatory part of the pre- and post-operative evaluation in pediatric epilepsy surgery. The neuropsychology task force of the ILAE - French Chapter aims to define a neuropsychological procedure consensus based on literature review and adapted for French practice. They performed a systematic review of the literature published between 1950 and 2023 on cognitive evaluation of individuals undergoing presurgical work-up and post-surgery follow-up and focused on the pediatric population aged 6–16. They classified publications listed in the PubMed database according to their level of scientific evidence. The systematic literature review revealed no study with high statistical power and only four studies using neuropsychological scales in their French version. Afterwards, the experts defined a neuropsychological consensus strategy in pediatric epilepsy surgery according to the psychometric determinants of cognitive tests, specificity of epilepsy, surgery context, French culture and literature reports. A common French neuropsychological procedure dedicated to pediatric epilepsy surgery is now available. This procedure could serve as a guide for the pre- and post-surgical work-up in French centers with pediatric epilepsy surgery programs. The main goal is to anticipate the functional risks of surgery, to support the postoperative outcome beyond the seizure-related one, while taking into consideration the plasticity and vulnerability of the immature brain and allowing the possibility of collaborative studies.

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小儿癫痫手术的神经心理学评估：法国手术共识。

神经心理学评估是小儿癫痫手术术前和术后评估的强制性组成部分。ILAE-法国分会的神经心理学工作组旨在根据文献综述和法国实践，定义一种神经心理学程序共识。他们对1950年至2023年间发表的关于接受术前检查和术后随访的个体认知评估的文献进行了系统综述，重点关注6-16岁的儿科人群。他们根据科学证据的水平对PubMed数据库中列出的出版物进行了分类。系统文献综述显示，没有一项研究具有较高的统计能力，只有四项研究使用了法语版的神经心理学量表。之后，专家们根据认知测试的心理测量决定因素、癫痫的特异性、手术背景、法国文化和文献报道，在儿童癫痫手术中定义了一种神经心理学共识策略。法国一种常见的专门用于儿童癫痫手术的神经心理学程序现已问世。该程序可作为法国儿童癫痫手术中心手术前和手术后检查的指南。主要目标是预测手术的功能风险，支持癫痫相关的术后结果，同时考虑到未成熟大脑的可塑性和脆弱性，并允许进行合作研究。

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来源期刊

Revue neurologique 医学-临床神经学

CiteScore

4.80

自引率

0.00%

发文量

598

审稿时长

55 days

期刊介绍： The first issue of the Revue Neurologique, featuring an original article by Jean-Martin Charcot, was published on February 28th, 1893. Six years later, the French Society of Neurology (SFN) adopted this journal as its official publication in the year of its foundation, 1899. The Revue Neurologique was published throughout the 20th century without interruption and is indexed in all international databases (including Current Contents, Pubmed, Scopus). Ten annual issues provide original peer-reviewed clinical and research articles, and review articles giving up-to-date insights in all areas of neurology. The Revue Neurologique also publishes guidelines and recommendations. The Revue Neurologique publishes original articles, brief reports, general reviews, editorials, and letters to the editor as well as correspondence concerning articles previously published in the journal in the correspondence column.

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