Impaired selective attention in patients with severe primary monosymptomatic nocturnal enuresis: An event-related potential study

Objectives: Primary monosymptomatic nocturnal enuresis (PMNE) is a very common problem in school age children. It is thought that PMNE represents a maturational lag in the central nervous system of those children. We did this case control study to assess the selective attention and resource allocati...

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Main Authors: Mohamed N. Thabit, Ahmed M. Abd Elhamed
Format: Article
Language:English
Published: Elsevier 2021-01-01
Series:Clinical Neurophysiology Practice
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2467981X2100041X
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author Mohamed N. Thabit
Ahmed M. Abd Elhamed
author_facet Mohamed N. Thabit
Ahmed M. Abd Elhamed
author_sort Mohamed N. Thabit
collection DOAJ
description Objectives: Primary monosymptomatic nocturnal enuresis (PMNE) is a very common problem in school age children. It is thought that PMNE represents a maturational lag in the central nervous system of those children. We did this case control study to assess the selective attention and resource allocation in those children using the P300 wave of the Event-Related Potentials (ERPs) and its relation to disease severity. Methods: Forty four patients with PMNE and twenty three healthy controls were included in this study. Patients were diagnosed according to the criteria of international children’s continence society and were classified into two groups; patients with frequent wetting (≥4 episodes/week), and patients with infrequent wetting (<4 episodes/week). ERPs were recorded at Fz, Cz, and Pz locations using odd-ball paradigm. N200 and P300 peak latencies (ms), and N200/P300 peak to peak amplitudes (µV) were measured. Results: We found significant increase of P300 and N200/P300 interpeak latencies, and significant decrease of P300 amplitudes in frequent wetting group “severe” PMNE compared to healthy controls and infrequent wetting group. Conclusion: Abnormal selective attention and resource allocation were found in patients with severe PMNE. Measures to improve selective attention might be helpful in treatment of patients with severe PMNE. Significance: Impaired selective attention might play a role in pathogenesis of severe PMNE and the need for the various measures to improve selective attention may be further studied as a therapeutic tool for patients with severe PMNE.
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spelling doaj.art-3b75bccdf80149be9c95f2daa1601a9c2022-12-21T23:34:38ZengElsevierClinical Neurophysiology Practice2467-981X2021-01-016260264Impaired selective attention in patients with severe primary monosymptomatic nocturnal enuresis: An event-related potential studyMohamed N. Thabit0Ahmed M. Abd Elhamed1Department of Neurology, Sohag Faculty of Medicine, Sohag University, Sohag, Egypt; Corresponding author at: Department of Neurology, Sohag University Hospital, Sohag University, Madinat, Nasser, Sohag 82524, Egypt.Department of Urology, Sohag Faculty of Medicine, Sohag University, Sohag, EgyptObjectives: Primary monosymptomatic nocturnal enuresis (PMNE) is a very common problem in school age children. It is thought that PMNE represents a maturational lag in the central nervous system of those children. We did this case control study to assess the selective attention and resource allocation in those children using the P300 wave of the Event-Related Potentials (ERPs) and its relation to disease severity. Methods: Forty four patients with PMNE and twenty three healthy controls were included in this study. Patients were diagnosed according to the criteria of international children’s continence society and were classified into two groups; patients with frequent wetting (≥4 episodes/week), and patients with infrequent wetting (<4 episodes/week). ERPs were recorded at Fz, Cz, and Pz locations using odd-ball paradigm. N200 and P300 peak latencies (ms), and N200/P300 peak to peak amplitudes (µV) were measured. Results: We found significant increase of P300 and N200/P300 interpeak latencies, and significant decrease of P300 amplitudes in frequent wetting group “severe” PMNE compared to healthy controls and infrequent wetting group. Conclusion: Abnormal selective attention and resource allocation were found in patients with severe PMNE. Measures to improve selective attention might be helpful in treatment of patients with severe PMNE. Significance: Impaired selective attention might play a role in pathogenesis of severe PMNE and the need for the various measures to improve selective attention may be further studied as a therapeutic tool for patients with severe PMNE.http://www.sciencedirect.com/science/article/pii/S2467981X2100041XNocturnal enuresisEvent-related potentialsP300Attention
spellingShingle Mohamed N. Thabit
Ahmed M. Abd Elhamed
Impaired selective attention in patients with severe primary monosymptomatic nocturnal enuresis: An event-related potential study
Clinical Neurophysiology Practice
Nocturnal enuresis
Event-related potentials
P300
Attention
title Impaired selective attention in patients with severe primary monosymptomatic nocturnal enuresis: An event-related potential study
title_full Impaired selective attention in patients with severe primary monosymptomatic nocturnal enuresis: An event-related potential study
title_fullStr Impaired selective attention in patients with severe primary monosymptomatic nocturnal enuresis: An event-related potential study
title_full_unstemmed Impaired selective attention in patients with severe primary monosymptomatic nocturnal enuresis: An event-related potential study
title_short Impaired selective attention in patients with severe primary monosymptomatic nocturnal enuresis: An event-related potential study
title_sort impaired selective attention in patients with severe primary monosymptomatic nocturnal enuresis an event related potential study
topic Nocturnal enuresis
Event-related potentials
P300
Attention
url http://www.sciencedirect.com/science/article/pii/S2467981X2100041X
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