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The Effect of early treatment on psychomotor development in children with epileptic encephalopathy
Beňová, Barbora ; Kršek, Pavel (advisor) ; Příhodová, Iva (referee) ; Aulická, Štefania (referee)
Children with focal intractable epilepsy caused by MCD, FCD and TSC are in a high risk of development of cognitive delay, as a result of both drug resistant epilepsy and genetically determined abnormal structure of the neuronal networks. Epilepsy surgery represents an established and safe treatment method of focal drug resistant epilepsy, and increases the chances for these patients to be rid of epileptic seizures, anti-epileptic medication and cognitive comorbidities. Current data on genetic background of focal MCD and FCD and their comorbidities provide space to expand the diagnostic process in epilepsy surgery candidates. However, available information on genetic causes of MCD and FCD do not allow us to infer prognostic estimates on chances of seizure freedom and optimal cognitive development. Future studies should elucidate these uncertainties.
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Cerebellar functions in Attention DeficitHyperactivityDisorder
Goetz, Michal ; Hort, Vladimír (advisor) ; Příhodová, Iva (referee) ; Papežová, Hana (referee)
Univerzita Karlova v Praze 1. lékařská fakulta Studijní obor: Lékařská psychologie a psychopatologie MUDr. Michal Goetz Cerebelární funkce u poruchy pozornosti s hyperaktivitou Cerebellar functions in Attention Deficit Hyperactivity Disorder Abstract Školitel: Doc. MUDr. Vladimír Hort, CSc. Praha 2014 1 Prohlášení Prohlašuji, že jsem závěrečnou práci zpracoval samostatně a že jsem řádně uvedl a citoval všechny použité prameny a literaturu. Současně prohlašuji, že práce nebyla využita k získání jiného nebo stejného titulu. Souhlasím s trvalým uložením elektronické verze mé práce v databázi systému meziuniverzitního projektu Theses.cz za účelem soustavné kontroly podobnosti kvalifikačních prací. V Praze 14. 2. 2014 MUDr. Michal Goetz 2 Identifikační záznam GOETZ, Michal. Cerebelární funkce u poruchy pozornosti s hyperaktivitou [Cerebellar functions in Atention Deficit Hyperactivity Disorder]. Praha, 2014. 190 stran, Disertační práce (Ph.D.). Univerzita Karlova v Praze, 1. lékařská fakulta Práce byla ...
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Sleep correlates of early risk of bipolar disorder in children and adolescents.
Šebela, Antonín ; Goetz, Michal (advisor) ; Příhodová, Iva (referee) ; Vevera, Jan (referee)
Background: Reports of subjective sleep impairments have been replicated in adults with bipolar disorder (BD) and young BD patients. Furthermore, circadian rhythm alterations are a core feature of BD. Despite the impairment in circadian rhythms and altered sleep included in various heuristic developmental models of BD, thus far, biomarkers in population at risk for BD have not been sufficiently objectively validated. Thus, we conducted: a) Explorative study of sleep and rest-activity circadian rhythm among offspring of BD parents. b) Study of sleep and rest-activity circadian rhythm among offspring of BD parents without the presence of psychopathology (except depression and anxiety disorders) based on our exploratory findings. Methods: a) 14 days of actigraphic assessment and subjective scales (Pediatric Sleep Questionnaire, PSQ; the Morningness/Eveningness Questionnaire, MEQ; and The General Behavior Inventory Sleep Subscale, GBISS) to assess circadian preference, and to identify sleep impairment symptoms. Psychopathology was assessed using psychiatric interview. b) ≥ 14 days of actigraphic assessment with advanced methods to assess the chronotype, social jet lag and sleep macrostructure, psychiatric interview and subjective psychometric scales to assess the full psychopathology profile. Results:...
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The Effect of early treatment on psychomotor development in children with epileptic encephalopathy
Beňová, Barbora ; Kršek, Pavel (advisor) ; Příhodová, Iva (referee) ; Aulická, Štefania (referee)
Children with focal intractable epilepsy caused by MCD, FCD and TSC are in a high risk of development of cognitive delay, as a result of both drug resistant epilepsy and genetically determined abnormal structure of the neuronal networks. Epilepsy surgery represents an established and safe treatment method of focal drug resistant epilepsy, and increases the chances for these patients to be rid of epileptic seizures, anti-epileptic medication and cognitive comorbidities. Current data on genetic background of focal MCD and FCD and their comorbidities provide space to expand the diagnostic process in epilepsy surgery candidates. However, available information on genetic causes of MCD and FCD do not allow us to infer prognostic estimates on chances of seizure freedom and optimal cognitive development. Future studies should elucidate these uncertainties.
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Sleep disorders and alertness in children with attention- deficit/hyperactivity disorder (ADHD)
Příhodová, Iva ; Nevšímalová, Soňa (advisor) ; Hadač, Jan (referee) ; Bojar, Martin (referee)
Attention - deficit/hyperactivity disorder (ADHD) is the most frequent neurobehavioral disorder of childhood. Complaints of sleep disorders are very common in children with ADHD. The underlying mechanisms of this relationship are systematically investigated. The results of sleep studies are very heterogenous. It is still unclear if ADHD is connected with a special sleep disturbance or if sleep disorders are another comorbidity in patients with ADHD. In our prospective study we evaluated sleep macrostructure and microstructure, the incidence of sleep disorders and the level of daytime sleepiness in patients with ADHD. The patients have never been farmacologically treated for ADHD and they did not have any comorbid psychiatric disorders. Comparing the results with a control group we find neither changes in sleep macrostructure and microstucture, nor in the incidence of sleep disorders. While we fell short of proving increased daytime sleepiness, we did find evidence of significant daytime vigilance variability in children with ADHD-in support of the theory of hypoarousal in ADHD. Based on this data we belive that generally sleep disorders have no substantial or causative role to play in ADHD. We excluded psychiatric comorbidies in our cohort. We presume they can participate in the occurrence of sleep...
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