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[2岁及以下住院儿童症状性癫痫的特征]

[Characteristics of symptomatic epilepsy in hospitalized children two years and younger].

作者信息

Zelwiańska Bogusława, Steczkowska-Klucznik Małgorzata, Gergont Aleksandra, Kaciński Marek

机构信息

Klinika Neurologii Dzieciecej Wydziału Lekarskiego Collegium Medicum Uniwersytetu Jagiellońskiego, 30-663 Kraków, ul. Wielicka 265.

出版信息

Przegl Lek. 2003;60(2):68-71.

Abstract

The authors discuss diagnostic and therapeutic problems of 248 children below 2 years of age hospitalized in the Department of Pediatric Neurology in Kraków in the years 1995-2000. The analysis included the type of seizures and supplementary examinations, including electrophysiological tests with video EEG and neuroimaging studies. The mental and motor development of these patients was also evaluated along with the employed therapy and its effectiveness. In the majority of children epilepsy was symptomatic and most often resulted from perinatal pathologies. The predominant type of seizures was generalized; of 248 children in 33 the characteristic epileptic syndrome was diagnosed. Among children with epilepsy seizure control was achieved in 77% of cases, while in children with symptomatic epilepsy the corresponding control rate was 67%.

摘要

作者讨论了1995年至2000年期间在克拉科夫儿科神经科住院的248名2岁以下儿童的诊断和治疗问题。分析内容包括癫痫发作类型和辅助检查,其中辅助检查包括视频脑电图的电生理测试和神经影像学研究。还评估了这些患者的智力和运动发育情况,以及所采用的治疗方法及其效果。大多数儿童的癫痫是症状性的,最常见的病因是围产期病变。癫痫发作的主要类型是全身性发作;在248名儿童中,有33名被诊断出患有特征性癫痫综合征。在癫痫患儿中,77%的病例实现了癫痫发作控制,而在症状性癫痫患儿中,相应的控制率为67%。

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