Sanchez-Carpintero R, Narbona J. El sistema ejecutivo y las lesiones frontales en el niño. Rev Neurol 2004 Jul 16-31;39(2):188-191.
Frontal lobe syndrome in adulthood is characterised
by executive function deficits leading to altered behavioural control with
difficulties in social interactions and in maintaining stable jobs and
interpersonal relationships. Generalisation of this concept to children with
early frontal lobe damage is not straightforward. There are complex interactions
between the effects of the lesion itself and the effects in other interconnected
regions, timing of lesion, how long it was since the lesion occurred to the time
of evaluation, and how old the child is at examination. These facts lead to
consider that there might be a number of 'frontal syndromes' in childhood rather
than a unique one. We report 9 cases of children with early frontal lobe lesions
who were followed up for an average of 10 years. CONCLUSION: A variety of
different outcomes suggests that prognosis for these patients might be better
that previously reported.