Department of Neurology, Medical College of Wisconsin, Milwaukee, WI 53226, USA.
Epilepsy Behav. 2010 Feb;17(2):272-5. doi: 10.1016/j.yebeh.2009.12.020. Epub 2010 Jan 25.
Nonepileptic paroxysmal events in children are common, and may be more diverse in etiology than those seen in adults. We determined the types of nonepileptic events that are most prominent in the pediatric population, and stratified those events by age group. Ninety-four of 416 pediatric patients monitored during a 3-year period (23%) were found to have had nonepileptic events. Thirty-eight percent of these children were diagnosed with psychogenic nonepileptic seizures, and 72% of those were adolescents. In children younger than 5 years of age, behavioral events and parasomnias were the most common mimickers of epilepsy. Other events, including stereotyped movements and myoclonus, were also diagnosed. We suggest that children with refractory paroxysmal events should be considered for early inpatient monitoring.
儿童非痫性发作较为常见，其病因可能比成人更为多样。我们确定了在儿科人群中最突出的非痫性发作类型，并按年龄组对这些发作进行了分层。在 3 年监测期间，416 名儿科患者中有 94 名（23%）被发现有非痫性发作。这些患儿中有 38%被诊断为心因性非痫性发作，其中 72%为青少年。在 5 岁以下儿童中，行为事件和睡眠障碍是最常见的癫痫模拟发作。还诊断出其他事件，包括刻板运动和肌阵挛。我们建议对难治性阵发性事件的患儿应考虑早期住院监测。
