Huber Z, Jarmusz K, Strzyzewski K
Neurol Neurochir Pol. 1985 Nov-Dec;19(6):495-500.
The authors review critically the traditionally accepted views on post-traumatic epilepsy in children. The analysis is based on 385 children hospitalized for craniocerebral injuries and 42 of these children (10.91%) in whom post-traumatic epilepsy developed. In the pathogenesis of this epilepsy development of essential importance were early beginning and frequently recurring attacks. Serial EEG was useful and the clinical pattern was initially non-characteristic. In the prevention of post-traumatic epilepsy careful prevention of secondary changes and primary neurosurgical management are of particular importance in the acute phase, while the effect of anticonvulsive treatment as prophylaxis is still a problem at issue.
作者对传统上关于儿童创伤后癫痫的公认观点进行了批判性回顾。该分析基于385名因颅脑损伤住院的儿童，其中42名（10.91%）发生了创伤后癫痫。在这种癫痫的发病机制中，早期发作和频繁复发的发作至关重要。连续脑电图检查很有用，且临床症状最初无特异性。在预防创伤后癫痫方面，在急性期仔细预防继发性改变和进行原发性神经外科治疗尤为重要，而抗惊厥治疗作为预防措施的效果仍是一个有争议的问题。
