Vassella F, Donati F, Penzien J M
Abteilung für Kinderneurologie, Universitätskinderklinik Bern.
Schweiz Rundsch Med Prax. 1991 Sep 3;80(36):899-902.
It is well known that some patients may have two or more different types of seizures. Partial epilepsies and more than 15 different epileptic syndromes (e.g. West or Lennox-Gastaut syndrome or epilepsies with absences) can lead to the intraindividual manifestation of two or more seizure types. Among 728 children with epilepsy seen at the outpatient department 9.1% had two different types of seizures and 1.5% had more than two types of seizures. The most common association observed was between tonic-clonic seizures and absences. The most frequently observed epileptic syndromes were in decreasing order: multifocal epilepsies, epilepsies with absences, Lennox-Gastaut syndrome and West syndrome. The association of two or more different seizure types in the same patient seems to be a negative prognostic factor.
众所周知，一些患者可能会出现两种或更多不同类型的癫痫发作。部分性癫痫以及超过15种不同的癫痫综合征（如婴儿痉挛症或Lennox-Gastaut综合征或失神性癫痫）可导致个体内出现两种或更多类型的癫痫发作。在门诊就诊的728例癫痫儿童中，9.1%有两种不同类型的癫痫发作，1.5%有两种以上类型的癫痫发作。观察到的最常见关联是强直阵挛性发作与失神发作之间的关联。最常观察到的癫痫综合征按频率递减顺序为：多灶性癫痫、失神性癫痫、Lennox-Gastaut综合征和婴儿痉挛症。同一患者出现两种或更多不同类型癫痫发作的关联似乎是一个不良预后因素。
