Cognitive Disorders and Their Correction in Children With Epilepsy
The article is devoted to the analysis of literature data on the study of cognitive disorders in children. The issues of the prevalence of these disorders are considered. Ir was noted the fact that the high prevalence of epilepsy in the population, frequent combination with mental retardation and personality changes and the need for long-term therapy anticonvulsant therapy determine the exceptional importance of this problem in pediatric neurology and psychiatry. The issues under consideration are due to the fact that the presence of cognitive disorder is one of the essential aspects in epileptological practice, as well as the fact that neurologists and psychiatrists involved in the treatment of epilepsy in children and adolescents often underestimate these disorders. The article pays attention to the etiological and pathogenetic aspects of the cognitive disorders formation, the dependence of the occurrence of these disorders on the localization of the epileptic focus, on the nature of the seizures and age-related features of the epilepsy course. It is indicated that cognitive disorders in patients with epilepsy is determined by biological and social factors interaction complex. The main points that can explain the cognitive and behavioral problems in children with epilepsy are underlined. Two mechanisms in the violation of the cognitive activity of patients with epilepsy are identified. It is indicated that psychosocial problems for patients often come to the fore, including cases when control over seizures has not been achieved yet. In particular, depression in patients with difficult to control epilepsy affects quality of life more than frequent suizures. In addition, depression can have a significant impact on cognitive function. Complaints on speech functions, memory, attention, thinking disorders that patients can present at the doctor’s appointment, are in second place after complaints on seizures. It was also given attention to the views on approaches to the treatment of cognitive disorders. It is indicated, that providing assistance to children with cognitive disorders should have a comprehensive and individual approach, combining non-medicament and medication methods.bThe funds belonging to the group of nootropic drugs, and also directed psychological correction, supported by antiepileptic therapy are applied traditionally for the treatment of cognitive disorders.
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