Disponible en: http://www.redalyc.org/articulo.oa?id=179322533005
Red de Revistas Científicas de América Latina, el Caribe, España y Portugal Sistema de Información Científica
Salvador González-Pal, Reinaldo Fabelo-Roche, Erick González-Delgado, Serguei Iglesias-Moré Factores biológicos en la epilepsia que provocan déficit de la inteligencia
Revista Chilena de Neuropsicología, vol. 6, núm. 1, 2011, pp. 26-33, Universidad de La Frontera
Chile
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Página de la revista Revista Chilena de Neuropsicología,
ISSN (Versión impresa): 0718-0551 [email protected]
Universidad de La Frontera Chile
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28
q9L;J/, L/, L/0/G;=G=, L/, b/JU:2/G3, /2, S9L;J/, L/, L/0/G;=G=,/:,L/0/GD;91L=,D/L;190/,/2,/:0FL;=,L/,,IF9J;=9/:,L/, L=:,0;H=:+,21:,EF/,R1GS19,G/:H/J0=,L/,21,/L1L,P,9=,:/,D190;/9/9, WLS<;0=, :SDM=2=+, 1G;0DK0;J1+, LS<;0=:+, L;:/V=, L/, M2=EF/:e+, :=9, J=9=J;L1:,J=D=,#-_,W#=,-/,_190;/9/9e,P,21:,EF/,9=,R1GS19,P, :/,D190;/9/9,W;9I=GD1J;Q9+,J=DHG/9:;Q9+,/9:1DM21G,=Mg/0=:,P, J=DH2/01G, I;<FG1:e+, J=9=J;L1:, J=D=, -_, W-/, _190;/9/9e., ':01:, h20;D1:, :=9, 21:, IF9J;=9/:, 1I/J01L1:, H=G, /2, L/0/G;=G=., '2, HG=J/L;D;/90=, :/, M1:1, /9, 1H2;J1G, 21, IQGDF21, W-_, t, #-_eu-_,
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;90/2;</9J;1,EF/,/9,21,H=M21J;Q9,:FHF/:01D/90/,:191,W_1G0;9,^, XG=\9+,477Ye.,,
&=:, G/:F201L=:, , L/, /:0/, /:0FL;=, L/, H=M21J;Q9, 1LF201, J=9, /H;2/H:;1+, /9, /2, EF/, :/, /fJ2FPQ, 1, EF;/9/:, :FIGS19, L/, /9J/I12=H10S1, /H;2KH0;J1+, D19;I/:01G=9, /9, F9, 66v, F91, , ;90/2;(
</9J;1, L/I;J;01G;1+, 1, 2=, EF/, :/, 1V1L/, EF/, /2, `7v, HG/:/901M1, /2/D/90=:, L/, L/0/G;=G=, L/, 21, ;90/2;</9J;1., ':, /R;L/90/, EF/, 21, D/GD1, /9, 21, ;90/2;</9J;1, HF/L/, 22/R1G, 1, F9, L/0G;D/90=, /9, 21, J12;L1L,L/,R;L1,L/,/:0=:,H1J;/90/:+,2=,EF/,HG/=JFH1,12,10/9L/G, H1J;/90/:,1LF20=:,J=9,/:0/,D12,WA1J=MP,^,X1{/G+,477Ze.,,, 0%
20%
40%
60%
80%
100%
C. GENERALIZADAS C. FOCALES C. FOCALES SEC GEN
52.60% 47.40% 56.60%
47.40% 52.60% 43.40%
CI + 90 CI - 89
0%
20%
40%
60%
80%
100%
C. GEN C. FOCALES C. FOC SEC GEN
31.60% 44.70% 53.80%
68.40% 55.30% 46.20%
SIN DETERIORO DETERIORO
32
-/<h9, F91, L/, 21:, 2/P/:, L/, 21, /H;L/D;=2=<S1+, 21:, /9I/GD/L1L/:, 9=, :/, 1:=J;19, H=G, :;DH2/, 1T1G+, :;9=, H=G, F9, J=9gF90=,L/,I1J0=G/:,L/,G;/:<=,EF/,HF/L/9,HG=R=J1G,/:01,F9;Q9.,
&=:,HG;9J;H12/:,I1J0=G/:,L/,G;/:<=,HG/:/90/:,/9,/2,H1J;/90/,J=9, /H;2/H:;1, P, EF/, HF/L/9, ;9LFJ;G, 0G1:0=G9=:, J=<9;0;R=:, :=9, L;R;L;L=:, /9, M;=2Q<;J=:+, H:;J=:=J;12/:, P, D/L;J1D/90=:=:+, H1G1, :/G, /:0FL;1L=:, /9, F9, J=9gF90=, L/, H1J;/90/:, J=9, /H;2/H:;1, Wa/GD199,^,bU;0D19+,8YY8e.,)1G1,1F0=G/:,EF/,U19,0G101L=,/2, 0/D1,L/,21,;90/2;</9J;1,/9,H1J;/90/:,1LF20=:,J=9,/H;2/H:;1+,/:0=:, I1J0=G/:, HF/L/9, :/G, L/I;9;L=:, L/, I=GD1, Di:, L;G/J01, J=D=3, 1e, I1J0=G/:, L;G/J01D/90/, G/21J;=91L=:, J=9, 21:, JG;:;:, =, /2, 0;H=, L/, /H;2/H:;1+, /90G/, 2=:, EF/, :/, ;9J2FP/9, 2=:, 221D1L=:, I1J0=G/:, M;=2Q<;J=:, =, 9/FG=M;=2Q<;J=:[, Me, I1J0=G/:, G/21J;=91L=:, J=9, /2, 0G101D;/90=, DKL;J=+, J=D=, 2=:, IiGD1J=:, 190;/H;2KH0;J=:, /2, 0G101D;/90=, EF;GhG<;J=, =, J1DM;=:, /9, /2, /:0;2=, L/, R;L1, L/2, H1J;/90/[,Je,/:01L=:,H:;J=H10=2Q<;J=:,P,J=9LFJ0F12/:,1:=J;1L=:+, P, 1:H/J0=:, D/L;=, 1DM;/9012/:+, J=D=, 2=:, /:0;<D1:+, /2, :=H=G0/, /J=9QD;J=+, =H=G0F9;L1L/:, R=J1J;=912/:+, P, Le, /2, <G1L=, L/, 1L1H01J;Q9, L/, 21:, H/G:=91:, 1, 21, /H;2/H:;1, W_1G0;9, ^, XG=\9+, 477Ye.,
'9, /:0/, 0G1M1g=, 9=:, U/D=:, J=9J/90G1L=, :=2=, , /9, 2=:, I1J0=G/:, M;=2Q<;J=:, L/, G;/:<=., )1G1, DFJU=:, :=9, Di:, 2=:, Di:,
;DH=G0190/:, W'9</2, ^, )/L/2P+, 8YYse, P, 01DM;K9, 2=:, Di:, L;:JF0;L=:, WA={/;0, ^, -JU1JU/G+, 477ce+, H=G, 2=, EF/, J=9:;L/G1D=:,
;DH=G0190/, G/:1201G, JQD=, :/, J=DH=G019, 2=:, D;:D=:, /9, F91, H=M21J;Q9,1LF201,J=9,/H;2/H:;1+,2=,EF/,HF/L/,H/GD;0;G,12,DKL;J=, L/,1:;:0/9J;1,1F<FG1G,/2,,L/0/G;=G=,L/,21,;90/2;</9J;1,1:=J;1L=,1, /:0=:, /9I/GD=:, P+, 2=, Di:, ;DH=G0190/+, /R;01G, /9, 12<F9=:, J1:=:, EF/,/:0=,:/,HG=LFTJ1.,
C/, /:01, I=GD1+, H=L/D=:, , :/V121G, , EF/+, /9, 2=:, H1J;/90/:, /:0FL;1L=:+, 21:, 9=f1:, J/G/MG12/:+, 012/:, J=D=, 21:, L;:0=J;1:, L/2, H1G0=+, 2=:, 0G1FD1:, JG19/=/9J/Ii2;J=:+, 21:, /9J/I12;0;:, P, /2, 12J=U=2;:D=, JGQ9;J=, |J1F:1:, IG/JF/90/:, L/, 2/:;=9/:, J/G/MG12/:|+, 9=, IF/G=9, G/21J;=91L1:+, :/<h9, 9F/:0G=:, G/:F201L=:+, J=9, F9, ]@, M1g=, =, F9, S9L;J/, L/, L/0/G;=G=, H=:;0;R=+, J=D=,:/,U1,R;:0=,/9,=0G=:,/:0FL;=:,W!=9Ti2/T()12+,/0,12.+,477Y[, jF;90191(_/9L=T1+,/0,12.+,477ce.,,,,,,
]=9, M1:/, /9, 2=, =M:/GR1L=+, 2=:, /9I/GD=:, EF/, U1MS19,
;9;J;1L=, 21:, JG;:;:, L/, /H;2/H:;1, , H=G, L/M1g=, L/, 2=:, 8`, 1V=:, L/, /L1L,0/9S19,J=9,D1P=G,IG/JF/9J;1,]@,H=G,L/M1g=,L/,ZY+,L;:0;90=, L/,EF;/9/:,J=D/9T1M19,:F:,JG;:;:,H=G,/9J;D1,L/,/:01,/L1L+,2=, EF/, L/DF/:0G1, EF/, H=G, L/M1g=, L/, 2=:, 8`, 1V=:, 21:, JG;:;:, L/, /H;2/H:;1, HF/L/9, L/0/9/G, /2, L/:1GG=22=, L/, 21, ;90/2;</9J;1, J=9, 1I/J01J;Q9,L/2,]@+,J=D=,2=,J=GG=M=G19,12<F9=:,/:0FL;=:,WX2FD/G,
^,a/GD199+,8YY6[,]1DH=:(]1:0/22=+,4775e.,,
&=:, H1J;/90/:, J=9, /R=2FJ;Q9, HG=2=9<1L1, L/, 21:, JG;:;:, L/, /H;2/H:;1+, 22/R1L1:, 1, F9, 2SD;0/, L/, Di:, L/, 8`, 1V=:, L/, /H;:=L;=:, ;J012/:+, HG/:/901G=9, J=9, Di:, IG/JF/9J;1, F9, , ]@, H=G, L/M1g=,L/,ZY+,2=,EF/,:;<9;I;J1,EF/,1,D1P=G,0;/DH=,L/,/R=2FJ;Q9, L/, 21:, JG;:;:, /f;:0/, D1P=G, L/0/G;=G=., *F9EF/, 12<F9=:, 1G0SJF2=:, J=;9J;L/9, /9, /:0/, 1:H/J0=+, 9=, L/g19, L/, G/J=9=J/G, EF/, 1, /:0/, 0;/DH=, D1P=G, L/, /R=2FJ;Q9, L/, JG;:;:, :/, 1V1L/, /2, ;DH1J0=, 9/<10;R=,L/,21:,JG;:;:,:/<h9,:F,0;H=,WC;{D/9,^,_100U/\:+,8Yss[,
!=9Ti2/T()12+,/0,12.+,477Y[,A={/;0,^,'M9/G+,8YYY[,-0/I19,^,)1F2;+, 4774e.,,,,
, '9,/2,<GFH=,L/,/9I/GD=:,J=9,/2/R1L1,IG/JF/9J;1,L/:L/, /2,;9;J;=,L/,21,/9I/GD/L1L+,J12JF21L=,J=9,F91,D/L;1,L/,Di:,L/, 0G/:, JG;:;:, /9, F9, D/:+, :/, =M:/GR1, J=9, Di:, IG/JF/9J;1, F9, ]@, D/9=G, L/, ZY+, P, 21, HG=M1M;2;L1L, L/, 2=:, H1J;/90/:, J=9, /2/R1L=, 9hD/G=,L/,JG;:;:,L/,/H;2/H:;1,L/,0/9/G,F9,]@,M1g=,/:,0G/:,R/J/:, D1P=G.,'9,/:0/,1:H/J0=+,/f;:0/,J=;9J;L/9J;1,J=9,/:0/,G/:F201L=,
W!=9Ti2/T()12+, /0, 12.+, 477Ye., p1DM;K9, :/, =M:/GRQ, EF/, 2=:, 190/(
J/L/90/:,L/,/:01L=:,L/,D12,/H;2KH0;J=,=,Di:,L/,877,JG;:;:,/9,F9, 1V=, ;9LFJS19, 12, LKI;J;0, L/, ]@., '9, JF190=, 12, /:01L=, L/, D12, /H;2KH0;J=,P,/2,L/0/G;=G=,1,21G<=,H21T=+,U1P,12<F9=:,0G1M1g=:,EF/, 2=:, 1H=P19, Wa=2D/:+, C=LG;22+, b;2{F:, /0, 12.+, 8YYZ[, pU=DH:=9, ^, CF9J19+,477`e.,*L;J;=912D/90/+,F91,G/R;:;Q9,L/,9F/R/,/:0FL;=:, 2=9<;0FL;912/:+, EF/, D;L/9, /2, IF9J;=91D;/90=, ;90/2/J0F12, L/, 9;V=:,J=9,H=MG/,J=90G=2,L/,21:,JG;:;:,L/,/H;2/H:;1+,/9JF/90G1,/9, 0=L=:, 2=:, /:0FL;=:, F91, L;:D;9FJ;Q9, L/2, J=/I;J;/90/, L/,
;90/2;</9J;1, WC=LG;22+, 477ce., a1P, Di:, J=9:/9:=, /9, J=9:;L/G1G, EF/, Di:, EF/, 21, IG/JF/9J;1, L/, 2=:, /H;:=L;=:, ;J012/:, /:, Di:, L/J;:;R1,21,:/R/G;L1L,L/,K:0=:,WC=LG;22+,8YZ5[,C=LG;22,^,pG=FH;9+, 8Ys5[,A={/;0,^,'M9/G+,4774[,"P/<M;2/+,C=\+,A=9/:,/0,12.+,477ce., -;9, /DM1G<=+, U1P, EF;/9/:, 9=, L/:JFMG/9, RS9JF2=, /90G/, /2, L/0/G;=G=,P,21,IG/JF/9J;1,L/,21:,JG;:;:,Wa=2D/:+,/0,12.+,8YYZe.,,
d91,,L/,21:,R1G;1M2/:,Di:,L;:JF0;L1:,/:,21,L/,2=:,0;H=:, L/, JG;:;:, L/, /H;2/H:;1, P, :F, L/0/G;=G=., -/<h9, 1F0=G/:, J=D=, a=IID199+, $U1=, P, a=2D/:, W477ce+, 21:, JG;:;:, </9/G12;T1L1:, W0Q9;J=(J2Q9;J1:+, 0Q9;J1:, =, J2Q9;J1:e, :/, G/21J;=919, J=9, D1P=G, L/0/G;=G=,H=G,2=:,Dh20;H2/:,0G1FD1:,EF/,:FIG/9,/:0=:,H1J;/90/:., p1DM;K9+,U1P,1G0SJF2=:,EF/,J=9:;L/G19,EF/,/9,2=:,H1J;/90/:,J=9, /H;2/H:;1:,H1GJ;12/:,L/2,2QMF2=,0/DH=G12,U1P,D1P=G,0/9L/9J;1,12, L/0/G;=G=, J=<9;0;R=, WpU=DH:=9, ^, CF9J19+, 477`e., #F/:0G=:, G/:F201L=:, 1H=P19, 1DM=:, H2190/1D;/90=:+, HF/:, 2=:, H1J;/90/:, J=9, ]@, Di:, M1g=, P, D1P=G, L/0/G;=G=, 0/9S19, JG;:;:, H1GJ;12/:, :/JF9L1G;1D/90/, </9/G12;T1L1:, WDi:, L/2, Z7v, J=9, JG;:;:, H1GJ;12/:, J=DH2/g1:, J1G1J0/GS:0;J1:, L/2, 2QMF2=, 0/DH=G12e+, :/<F;L=:,L/,2=:,EF/,:=2=,0/9S19,JG;:;:,</9/G12;T1L1:.,,
'9, 9F/:0G=, /:0FL;=, J=9, H1J;/90/:, 1LF20=:, 9=, :/, DF/:0G19, L;I/G/9J;1:, /90G/, 2=:, H1J;/90/:, J=9, /H;2/H:;1, I=J12/:, 0/DH=G12/:, P, IG=9012/:+, 2=, EF/, /:, F9, U1221T<=, IG/JF/90/, /9, /:0FL;=:, J=9, 9;V=:+, /9, EF;/9/:, :/, =M:/GR1, EF/, /2, IF9J;=91D;/90=, J=<9;0;R=, L/, 21, /H;2/H:;1, /:, D/g=G, /9, 21:, /H;2/H:;1:,0/DH=G12/:,EF/,/9,21:,IG=9012/:+,/9,21:,EF/+,1,:F,R/T+, :=9, D/g=G/:, EF/, /9, 21:, /H;2/H:;1, </9/G12;T1L1:, :;90=Di0;J1:, W#=219+,/0,12.+,4776e.+,
k;912D/90/+,H=L/D=:,L/J;G,EF/,:/,J=9:;L/G1,/2/R1L1, 21, D/GD1, L/, 21, ;90/2;</9J;1, /9, 2=:, H1J;/90/:, 1LF20=:, J=9, /H;2/H:;1+, 21, EF/+, :/<h9, 9F/:0G=:, G/:F201L=:+, /:0i, DFP, G/21J;=91L1, J=9, F9, J=9gF90=, L/, I1J0=G/:, M;=2Q<;J=:, /9, 2=:, H1J;/90/:+,/90G/,2=:,EF/,:/,L/:01J193,
(,)1J;/90/:,,EF/,J=D/9T1M19,21:,JG;:;:,L/,/H;2/H:;1,H=G,L/M1g=, L/,2=:,8`,1V=:,L/,/L1L.,
(,*EF/22=:,J=9,JG=9;J;L1L,L/,:F:,JG;:;:,L/,/H;2/H:;1+,J=9,Di:,L/, 8`,1V=:,L/,/R=2FJ;Q9,L/,/:01:.,
(, &=:, EF/, L/:L/, /2, ;9;J;=, L/, 21, /9I/GD/L1L, D190;/9/9, F91, IG/JF/9J;1, L/, JG;:;:, :FH/G;=G, 1, F91, H=G, D/:, P, /9I/GD=:, J=9, 190/J/L/90/:,L/,U1M/G,0/9;L=,Di:,L/,877,JG;:;:,/9,F9,1V=,L/,:F, R;L1.,
(, &=:, EF/, :FIG/9, L/, JG;:;:, </9/G12;T1L1:, =, JG;:;:, H1GJ;12/:, :/JF9L1G;1D/90/,</9/G12;T1L1:.,
'2, J=9=J;D;/90=, P, 21, L/0/JJ;Q9, L/, /:0=:, I1J0=G/:, , /9, /01H1:,0/DHG191:,L/,21,R;L1,HF/L/,L1G,F9,HG=9Q:0;J=,1L/JF1L=, 1, 21G<=, H21T=, L/, 21, ;90/2;</9J;1, L/2, H1J;/90/, P+, 1L/Di:+, /:/, LKI;J;0, HF/L/, :/, G/J0;I;J1L=, :;, :/, 1HG=R/JU1, /2, HG=J/:=, L/, 9/FG=H21:0;J;L1L,P,:/,/g/GJ;01,Di:,1,9F/:0G=,9;V=:,P,gQR/9/:,J=9, /H;2/H:;1, /9, IF9J;=9/:, EF/, HF/L/9, /:01G, 120/G1L1:., a1P, EF/, 0/9/G, HG/:/90/, EF/, 2=:, H1J;/90/:, J=9, /H;2/H:;1, P, D/GD1, L/, IF9J;=9/:, J=<9;0;R1:, L/, 21, ;90/2;</9J;1, 0;/9/9, F91, H/=G, J12;L1L, L/,R;L1+,2=,EF/,G/EF;/G/,/:I=GT1G:/+,HG;D/G=+,/9,L/0/J01G,JF12/:,
!"#$%&'$()*&+,-.+,/0,12.,!"#$%!"#$%&'()$%*"+,-./(0-)$%12343,45(66+,4788,
33
:=9,2=:,I1J0=G/:,EF/,Di:,;9I2FP/9,P+,H=:0/G;=GD/90/+,/9,0G1T1G, F91,/:0G10/<;1,EF/,:;GR1,H1G1,D;9;D;T1G,/:0=:,0G1:0=G9=:., ,
>/8/$/"()31, ,
*J/R/L=+, ].+, ]1DH=:+, _.+, _/:1+, p., ^, #FV/T+, &., W'L:.e., W4775e., C.()"./(7/D%)-%I+"%+/:"6%6"A"%/7A",%/(5%/",%8@6(0-.,-190;1<=, L/,]U;2/3,Xa*,@DHG/:=G/:,-*.,
X/<U;+, '., W477Ye., pU/, J=9J/H, =I, 0U/, /H;2/H:P, -P9LG=D/3, a=\, F:/IF2,;:,;0,;9,J2;9;J12,HG1J0;J/o,C.()"./(7J%KLW-FHH2,`e+,c(87., X;99;/+,].+,C/M/0:+,l.+,'9</2:D19+,_.,/0,12.,W8YZYe.,C=FM2/(M2;9L,
JG=::=R/G,0G;12,=I,21D=0G;<;9/,W&1D;J012e,1:,1LL(=9,0U/G1HP,;9,
;90G1J01M2/,/H;2/H:P.,C.()"./M%!"/J%NJ%444(44Y.,
X2FD/G+, C., ^, a/GD199+, X., W8YY6e., X/U1R;=G12, 19L, /D=0;=912, 1LgF:0D/90,;9,/H;2/H:P.,@::F/:,;9,/H;2/H:P,19L,EF12;0P,=I,2;I/.%
O756-#",D%C.()"./M$%P-+567:(-5%-<%Q8",(07+,8(Z.,
XG=\9+,-.,W4775e.,C/0/G;=G10;=9.,C.()"./(7J%NRW-FHH2,4e+,8Y(46., ]1DH=:(]1:0/22=+, A., W4775e., #/FG=H:;J=2=<S1, L/, 21, /H;2/H:;13,
}jFK, I1J0=G/:, /:0i9, ;DH2;J1L=:o,!"#% *"+,-)J% NSW-FHH2, 8e+, -`Y(-s7.,
]1G1D/22;+, )., ^, )+, _.]., W477`e., C/D/90;1, *::=J;10/L, \;0U, 'H;2/H:P.,=5:",57:(-57)% T/M0'-;",(7:,(0/J% 3RW:FHH28e+, 8Y`(
475.,
C;{D/9+,-.,^,_100U/\:+,].,W8Ysse.,'II/J0,=I,D1g=G,D=0=G,:/;TFG/, IG/EF/9JP, FH=9, J=<9;0;R/(;90/22/J0F12, IF9J0;=9:, ;9, 1LF20:., C.()"./(7J%3U+,48(4Y.,
C=LG;22+,].,W8YZ5e.,]=GG/210/:,=I,</9/G12;T/L,0=9;J(J2=9;J,:/;TFG/:,
\;0U,;90/22/J0F12+,9/FG=H:PJU=2=<;J12+,/D=0;=912+,19L,:=J;12, IF9J0;=9,;9,H10;/90:,\;0U,/H;2/H:P.,C.()"./(7J%VRJ%6YY(6c8., C=LG;22+, ]., W477ce., #/FG=H:PJU=2=<;J12, /II/J0:, =I, :/;TFG/:.,
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