INTRODUCTION An alteration in postoperative cognitive function varies according to the patients' background characteristics, such as etiology, focus, and seizure duration. Accurate prediction and assessment of postoperative cognitive function is difficult in each patient. Adaptive behavior could describe the typical performance of daily activities and represents the ability to translate cognitive potential into real-world skills. We examined the relationship between alterations of executive function (EF) and adaptive behavior in school children undergoing surgery for intractable epilepsy. METHODOLOGY We enrolled 31 children with focal resection or corpus callosotomy for intractable epilepsy [mean age at surgery, 12.5 years; 16 boys; mean intellectual quotient, 73.3]. We surveyed answered questionnaires on attention-deficit hyperactivity disorder (ADHD), autism spectrum disorder (ASD), and adaptive behavior using the Vineland Adaptive Behavior Scale, 2nd edition (VABS-II), and performed continuous performance tests (CPTs) on children pre- and postoperatively. RESULT ADHD and ASD symptoms improved after epilepsy surgery. The omission error (OE) in the CPT variable improved after epilepsy surgery, especially in children with a shorter preoperative period. Improved ASD symptoms led to an increased score of the coping skills subdomain. The reduced OE observed after surgery also increased the score of the community skills subdomain. CONCLUSION Improvement in EF and ASD symptoms resulted in better adaptive behavior postoperatively. These results were important for the pre- and postoperative evaluation and re-evaluation of children with epilepsy requiring special education and related services.

中文翻译：

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顽固性癫痫患儿术后执行功能和适应性行为的改善

引言 术后认知功能的改变因患者的背景特征而异，例如病因、病灶和癫痫发作持续时间。对每位患者术后认知功能的准确预测和评估是困难的。适应性行为可以描述日常活动的典型表现，并代表将认知潜力转化为现实世界技能的能力。我们研究了接受手术治疗顽固性癫痫的学童的执行功能 (EF) 改变与适应性行为之间的关系。方法学 我们招募了 31 名接受局灶性切除术或胼胝体切开术治疗顽固性癫痫的儿童 [平均手术年龄 12.5 岁；16个男孩；平均智商，73.3]。我们使用 Vineland 适应性行为量表第二版 (VABS-II) 调查了有关注意缺陷多动障碍 (ADHD)、自闭症谱系障碍 (ASD) 和适应性行为的问卷，并对儿童进行了连续表现测试 (CPT)。 - 和术后。结果 癫痫手术后 ADHD 和 ASD 症状有所改善。癫痫手术后 CPT 变量中的遗漏错误 (OE) 有所改善，尤其是在术前时间较短的儿童中。ASD 症状的改善导致应对技能子域的得分增加。手术后观察到的 OE 降低也增加了社区技能子域的得分。结论 EF 和 ASD 症状的改善导致术后更好的适应行为。