The impact of age at seizure onset on the likelihood of atypical language representation in children with intractable epilepsy

Studies have suggested that early postnatal lesions are associated with a greater likelihood of atypical speech representation than lesions acquired later in life. Comparison groups have been defined differently across studies, with age typically being treated as a dichotomous (i.e., early versus late lesion onset) rather than continuous variable. Thus, little is known about the age at which children become less likely to exhibit atypical representation following a brain insult. This study examined the likelihood of typical versus atypical speech representation in children with intractable epilepsy (n = 75). Age of seizure onset was treated as a continuous variable to examine whether there was a naturally occurring cut-off point after which the rate of atypical speech representation decreased. A much higher proportion of children with seizure onset prior to the fifth year showed atypical speech representation as compared to children whose seizures began after 5 years of age.