Neuropediatric Unit, Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Centre for Clinical Research Sörmland, Uppsala University, Eskilstuna, Sweden.
Acta Paediatr. 2021 Nov;110(11):2944-2950. doi: 10.1111/apa.16026. Epub 2021 Aug 1.
Children with epilepsy have at least one comorbidity in 80% of cases. This unstructured review provides insights into the most common comorbidities, their effects on seizure prognosis and treatment. We also review the epilepsy terminology and classifications. Neurodevelopmental and psychiatric comorbidities were common in children with seizures and had a negative effect on quality of life, and seizure freedom. Children with seizures were treated with drugs used for attention deficit hyperactivity disorder (ADHD), depression or psychosis, more often than the general population but less often than prevalence rates would suggested. CONCLUSION: Multidisciplinary teams should assess comorbidities in children with epilepsy to improve their care and outcomes.
80%的癫痫患儿至少有一种合并症。本综述提供了对最常见合并症的深入了解,包括它们对癫痫预后和治疗的影响。我们还回顾了癫痫的术语和分类。神经发育和精神合并症在癫痫患儿中很常见,对生活质量和无癫痫发作有负面影响。患有癫痫的儿童比一般人群更常使用治疗注意力缺陷多动障碍(ADHD)、抑郁或精神病的药物,但比患病率所表明的要少。结论:多学科团队应评估癫痫患儿的合并症,以改善他们的护理和结局。