“…These impairments enhance learning difficulties (Elliot et al, 2005;Selassie et al, 2008;Williams, 2003), and negatively affect self-esteem (Caplan et al, 2006). Academic underachievement is also prominent among children with epilepsy (for example, Fastenau et al, 2008;Katzenstein, Fastenau, Dunn & Austin, 2007;Selassie et al, 2008;Wirrell et al, 2008) and is persistent over time (Austin et al, 1999). Difficulties in mathematics (Wirrell et al, 2008), spelling, writing, reading, reading comprehension (Aldenkamp et al, 2005;Berg et al, 2008;Moffat et al, 2009;Seidenberg, Beck, Geisser, Giordani, Sackellares, Berent, Dreifuss & Boll, 1986;Williams, 2003) and expressive language (Selassie et al, 2008) have been identified in the literature.…”