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儿童头部受伤后的心因性癫痫发作。

Psychogenic seizures after head injury in children.

作者信息

Pakalnis A, Paolicchi J

机构信息

Section of Neurology, Columbus Children's Hospital, OH 43205, USA.

出版信息

J Child Neurol. 2000 Feb;15(2):78-80. doi: 10.1177/088307380001500202.

DOI:10.1177/088307380001500202
PMID:10695889
Abstract

A total of 148 patients with a history of probable seizure disorder were studied prospectively with long-term video electroencephalography over a 1-year period. Sixteen (11%) were identified with psychogenic seizures. Eleven (69%) of 16 were boys, with a mean age of 10.5 years. Seven (44%) of the 16 had an antecedent history of head injury prior to the development of these episodes; of these patients 85% were boys. Our results suggest that contrary to findings in the adult population, psychogenic seizures can be commonly seen in boys. The prevalence of antecedent head injury suggests that it is a notable risk factor in children as well as adults in the occurrence of psychogenic seizures.

摘要

对148例有癫痫发作病史的患者进行了为期1年的前瞻性长期视频脑电图研究。其中16例(11%)被确诊为精神性癫痫发作。16例中有11例(69%)为男孩,平均年龄为10.5岁。16例中有7例(44%)在这些发作出现之前有头部受伤史;在这些患者中,85%为男孩。我们的研究结果表明,与成人人群的研究结果相反,精神性癫痫发作在男孩中较为常见。既往头部受伤的患病率表明,它是儿童和成人发生精神性癫痫发作的一个显著危险因素。

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