Popielarska A, Komender J, Golczyk-Wojnar A, Tomaszewicz-Libudzic C, Popielarska M, Fabisiak A
Kliniki Psychiatrii Instytutu Pediatrii AM w Warszawie.
Neurol Neurochir Pol. 1987 Jul-Aug;21(4-5):319-23.
In a group of 80 epileptic children aged 10-11-12 years in 75% of cases psychic changes were found, including disturbances of intellectual abilities of the oligophrenic-dementive type, and personality disorders. The cause of these disturbances was organic brain damage due mainly to pathological events in pregnancy and labour, and to mechanical craniocerebral trauma in early childhood. Other causes included: duration, type and frequency of seizures and longstanding pharmacological polytherapy not considering the interaction of drugs. The coexistent neurotic symptoms in 60% out of 80 studied children were caused by abnormal family situation and situation in school which had undoubtedly an effect on the prognosis and course of epilepsy in children.
在一组80名年龄在10至12岁的癫痫儿童中,75%的病例出现了精神变化,包括智力发育迟缓-痴呆型智力能力障碍和人格障碍。这些障碍的原因主要是孕期和分娩时的病理事件以及幼儿期的机械性颅脑创伤导致的器质性脑损伤。其他原因包括:癫痫发作的持续时间、类型和频率,以及长期不考虑药物相互作用的联合药物治疗。在80名接受研究的儿童中,60%同时存在的神经症症状是由异常的家庭环境和学校环境引起的,这无疑对儿童癫痫的预后和病程产生了影响。