Screening for cognitive impairment in children with epilepsy is reliably performed with the Battery for Rapid Evaluation of Cognitive Functions (BREV) neuropsychological test. It is fast and has been carefully standardised and validated, say neurologists from specialist centres in six French cities.
Standardisation tests were undertaken in 500 normally developing children, aged four to eight years. These were then validated by testing specificity and sensitivity of the BREV with a wide reference battery in 202 children with epilepsy (108 males, 94 females). The children had a mean age of six years.
Researchers then divided the children into 10 age groups, from four to eight years, representing eight epileptic syndromes. Verbal and non-verbal intelligence was assessed with the reference battery, using the Wechsler scale, oral language assessment with a French Battery for oral language study, and drawing with the Rey figure. The battery also included the McCarthy scale subsets and the Rey figure recall and assessed educational achievement with the Kaufman subsets.
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