Leary P M, Morris S
Department of Paediatrics and Child Health, University of Cape Town.
S Afr Med J. 1988 Dec 3;74(11):579-81.
In over 50% of children with recurrent seizures in a South African hospital population the onset of attacks was before the age of 2 years. In 32% of patients there was a history of perinatal complications and 11% had a history of meningitis; 38% of the children had abnormalities on physical examination and 55% were intellectually handicapped. Acceptable seizure control was achieved in 71% of patients and 68% were treated with a single anticonvulsant. Appropriate educational placement had not been achieved for 22%. It is concluded that a reduction in the incidence of epilepsy in the community can be achieved by improvements in obstetric/neonatal services and by the raising of living standards. The abolition of racial segregation at special schools and training centres will alleviate the present shortage of places for children with epilepsy who cannot cope at regular schools.
在南非一家医院的复发性癫痫患儿中，超过50%的患儿发作始于2岁之前。32%的患者有围产期并发症史，11%有脑膜炎病史；38%的儿童体检有异常，55%有智力障碍。71%的患者实现了可接受的癫痫控制，68%的患者接受单一抗惊厥药物治疗。22%的患者尚未获得适当的教育安置。结论是，通过改善产科/新生儿服务和提高生活水平，可以降低社区癫痫的发病率。取消特殊学校和培训中心的种族隔离将缓解目前癫痫患儿在正规学校无法就读而导致的安置场所短缺问题。
