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Educational Attainment of children with Self-Limited Epilepsy with CentroTemporal spikes (SeLECTs), other epilepsies, and without epilepsy: a retrospective cohort study
Arron Lacey 
,
Carys B Jones ,
Christopher J Weir ,
Jacqueline Stephen ,
Owen Pickrell ,
Richard F Chin
,
Carys B Jones ,
Christopher J Weir ,
Jacqueline Stephen ,
Owen Pickrell ,
Richard F Chin
Seizure: European Journal of Epilepsy
Swansea University Authors:
Arron Lacey , Owen Pickrell
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DOI (Published version): 10.1016/j.seizure.2025.11.009
Abstract
BackgroundChildren with epilepsy may have poorer educational outcomes—this may not be true for all epilepsy syndromes. We investigate educational attainment of children with Self-Limited Epilepsy with CentroTemporal Spikes (SeLECTS) in Wales.MethodA retrospective cohort study using routinely-collect...
| Published in: | Seizure: European Journal of Epilepsy |
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| ISSN: | 1059-1311 |
| Published: |
Elsevier BV
2025
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| Online Access: |
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| URI: | https://cronfa.swan.ac.uk/Record/cronfa70882 |
| Abstract: |
BackgroundChildren with epilepsy may have poorer educational outcomes—this may not be true for all epilepsy syndromes. We investigate educational attainment of children with Self-Limited Epilepsy with CentroTemporal Spikes (SeLECTS) in Wales.MethodA retrospective cohort study using routinely-collected data for children in Wales. We used primary care diagnosis codes to identify children (0–16 years) with SeLECTS, other epilepsies, and children without epilepsy (comparators). We linked these records to Key Stage (KS) 2, 3 and 4 (ages 11,14, and 16) national educational test results (2003–2021). We performed logistic regression to analyse attainment (proportion achieving required attainment) in children with SeLECTS, other epilepsies, and comparators.ResultsAt KS 2,3 and 4: 101,92 and 81 children with SeLECTS were matched to 299,274 and 243 children with other epilepsies and comparators. A lower proportion of the SeLECTs and other epilepsies groups achieved required attainment than the comparators across all key stages.After adjusting for sex, deprivation, year of study and Anti-Seizure Medications (ASM), children with SeLECTS had similar achievement to comparators in KS2 and KS3:adjusted Odds Ratio (aOR,[95%CI]) for achieving requirement:KS2:aOR=0.97[0.87–1.09];KS3:aOR=0.99[0.88–1.10]; but slightly reduced KS4 achievement:aOR=0.89,[0.80–1.00]. Children with other epilepsies were significantly less likely to achieve the requirement than comparators:KS2:aOR=0.79[0.72–0.87], KS3:aOR=0.78[0.71–0.86],KS4:aOR=0.72[0.65–0.80].ConclusionsThere was a trend for poorer educational achievement for children with SeLECTs at KS4; this was only borderline statistically significant in the adjusted model. Children with other epilepsies had an increased risk of poorer attainment across all ages when compared to children without epilepsy. |
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| Keywords: |
Epilepsy; Self-Limited Epilepsy with CentroTemporal Spikes (SeLECTS); Educational Attainment; Children; Routinely-collected data; Rolandic Epilepsy; Childhood Epilepsy with Centrotemporal Spikes (CECTS) |
| College: |
Faculty of Medicine, Health and Life Sciences |
| Funders: |
This work was supported by the Waterloo Foundation. |