Rahman M M, Akhter Shaheen, Karim B A
Department of Paediatrics, BSMMU, Dhaka, Bangladesh.
Mymensingh Med J. 2004 Jan;13(1):67-70.
This was a prospective analytical study done from October'99 through December 2000 to observe the clinical profile of epilepsy in children with cerebral palsy. Sixty epileptic children with cerebral palsy were studied and their results were compared with the results of epilepsy in 30 developmentally normal children. Ages of all children studied were 1-15 years. Majority were below five years of age and male out numbered female. Spastic quadriplegia (60%) was the commonest type of cerebral palsy. Generalized tonic-clonic seizure (66%) was the commonest seizure type in both groups. Second most common type of seizure was partial (13%) and myoclonic (29%) in developmentally normal and cerebral palsy children respectively. Mental retardation (63%) and speech delay (58%) were the two common associated problems in cerebral palsy patients. Ventriculomegaly (55%) was the commonest computed tomographic findings in cerebral palsy patients. In electro encephalography generalized epileptiform activity was the commonest finding in both groups. Clinical pattern is different in many ways when epilepsy is associated with cerebral palsy.
这是一项前瞻性分析研究，于1999年10月至2000年12月进行，旨在观察脑瘫患儿癫痫的临床特征。对60例脑瘫癫痫患儿进行了研究，并将其结果与30例发育正常儿童的癫痫结果进行了比较。所有研究儿童的年龄为1至15岁。大多数患儿年龄在5岁以下，男性多于女性。痉挛性四肢瘫（60%）是最常见的脑瘫类型。全身强直阵挛发作（66%）是两组中最常见的癫痫发作类型。第二常见的发作类型在发育正常儿童中为部分性发作（13%），在脑瘫患儿中为肌阵挛发作（29%）。智力发育迟缓（63%）和语言发育迟缓（58%）是脑瘫患者两个常见的相关问题。脑室扩大（55%）是脑瘫患者最常见的计算机断层扫描结果。在脑电图检查中，两组最常见的发现都是广泛性癫痫样活动。当癫痫与脑瘫相关时，临床模式在许多方面有所不同。
