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[青少年癫痫的临床特征]

[Clinical features of epilepsy in adolescents].

作者信息

Pascual-Pascual S I

机构信息

Servicio de Neuropediatría, Hospital Infantil La Paz, Centro Nacional ATAM, Madrid, España.

出版信息

Rev Neurol. 1999;28(1):36-43.

Abstract

OBJECTIVE

The epilepsy is a common neurologic disorder in adolescence. Its prevalence is 1.5-2% in these ages. In this work the different epileptic types and syndromes that begin in adolescence are reviewed.

DEVELOPMENT

Primary generalized epilepsies are the most frequent group. Its three syndromes, juvenile absences epilepsy, juvenile myoclonic epilepsy and epilepsy with generalized with tonic-clonic seizures on awakening, have different clinical and electroencephalographic characteristic but also share a considerable overlapping among them. The partial epilepsies are frequently functional or idiopathic, but not so often as in childhood. The secondary generalized epilepsies are rare, and among them, the progressive myoclonic epilepsies are the main group. The clinical aspects of the different disorders are described.

CONCLUSIONS

19% of epilepsies have the onset in adolescence. There is a wide spectrum of clinical syndromes, with different symptoms and prognosis and also different of the corresponding syndromes that begin in childhood.

摘要

目的

癫痫是青少年常见的神经系统疾病。在这些年龄段,其患病率为1.5%-2%。本文回顾了始于青少年期的不同癫痫类型和综合征。

进展

原发性全身性癫痫是最常见的类型。其三种综合征,即青少年失神癫痫、青少年肌阵挛癫痫和觉醒时全身强直阵挛发作癫痫,具有不同的临床和脑电图特征,但它们之间也有相当大的重叠。部分性癫痫常为功能性或特发性,但不像儿童期那么常见。继发性全身性癫痫很少见,其中进行性肌阵挛癫痫是主要类型。描述了不同疾病的临床特点。

结论

19%的癫痫始于青少年期。有广泛的临床综合征,具有不同的症状和预后,也与始于儿童期的相应综合征不同。

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