The development of pragmatic skills in children after hemispherotomy: Contribution from left and right hemispheres

Epilepsy & Behavior : E&B
Jessica Save-PédebosChristine Bulteau

Abstract

Hemispherotomy (H) is the standard treatment used to cure hemispheric epileptic syndromes in childhood. The postoperative linguistic profile involves hemispheric specialization processes and developmental cognitive plasticity. This research concerns pragmatic aspects of language as a tool for communication which involves both linguistic and extralinguistic communication in context. Our aim was to analyze whether any correlation exists with age at surgery and side of surgery on pragmatic skills following H. Forty children who underwent H (23 females, 16 right H) were evaluated at a mean age of 12.8years (±2.6) with two receptive tasks (oral comprehension and syntactic judgment), the Children's Communication Checklist (CCC) rating scale, and the Behavioral Rating Inventory of Executive Function (BRIEF) questionnaire in order to evaluate the role of executive functions on pragmatic skills. Children operated on before the age of 18months were considered the "early" group (5 right H and 9 left H), while those operated on later were called the "late" group (11 right H and 15 left H). The whole group had significant deficits in all three measures. We demonstrated a statistically significant crossed interaction between the side of H an...Continue Reading

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Citations

Jul 26, 2016·Frontiers in Aging Neuroscience·Annabelle ConstansJérôme Laurin
Jan 30, 2020·Social Cognitive and Affective Neuroscience·Kristen R HoskinsonKeith Owen Yeates
Dec 5, 2019·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Joceli Rodrigues SilvaAna Paula Hamad
Oct 23, 2020·Neurology·Andrea S Nahum, Frédérique J Liégeois
Apr 29, 2021·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Alejandro J LopezBenjamin C Kennedy

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