Hirsch E, de Saint-Martin A, Marescaux C
Service de Neurologie, Neuropsychologie et Explorations Fonctionnelles des Epilepsies, Hôpital Civil, Strasbourg.
Rev Neurol (Paris). 1999 Jul;155(6-7):463-7.
Benign neonatal familial convulsions have been recognized as a distinctive epileptic syndrome since 1964. This rare epileptic syndrome was classified in the category of idiopathic generalized epilepsies. Recently, mutations of potassium channel genes (KCNQ2, KCNQ3) were identified as responsible for this autosomic dominant epileptic syndrome. Generalized tonico-clonic seizures start at the second or third day after birth in children with no prenatal or perinatal pathological history. Interictal EEG is normal. This epilepsy is age-dependent: less than ten percent of children present seizures later in life. Despite their rarity, BNFC represent a useful model to understand the pathophysiology of idiopathic age dependant epilepsies.
自1964年以来,良性新生儿家族性惊厥已被确认为一种独特的癫痫综合征。这种罕见的癫痫综合征被归类为特发性全身性癫痫。最近,钾通道基因(KCNQ2、KCNQ3)的突变被确定为这种常染色体显性癫痫综合征的病因。在没有产前或围产期病理病史的儿童中,全身性强直阵挛发作始于出生后第二天或第三天。发作间期脑电图正常。这种癫痫与年龄有关:不到10%的儿童在以后的生活中会出现癫痫发作。尽管良性新生儿家族性惊厥很罕见,但它是理解特发性年龄依赖性癫痫病理生理学的一个有用模型。