Popielarska M, Popielarska A, Golczyk-Wojnar A, Komender J, Tomaszewicz-Libudzic C, Fabisiak A
Neurol Neurochir Pol. 1984 Nov-Dec;18(6):523-8.
From a group of 248 cases of epilepsy observed in the last five years 69 (28%) children, 32 boys and 37 girls, were isolated (aged from several months to 14 years) in whom the first epileptic seizures appeared at the age of 3 years or less. The subgroups were subjected to detailed psychiatric-psychological analysis for establishing whether epilepsy beginning in the life period of the most intense developmental processes may have any decisive influence on the psychic development and social adaptation of the child. It was found that children with epilepsy beginning at the age below 3 years require not only a careful differential diagnosis but even more a comprehensive therapeutic management, which should include, besides systematic administration of drugs and periodic EEG control also a continuous psychological and psychiatric supervision and care which would ensure a possibly optimal development of mental skills and social adaptation in the family and outside it.
在过去五年观察的248例癫痫病例中，69名（28%）儿童（年龄从几个月到14岁）被单独挑选出来，他们首次癫痫发作发生在3岁及以下。对这些亚组进行了详细的精神心理分析，以确定在发育最旺盛的生命阶段开始的癫痫是否会对儿童的心理发育和社会适应产生决定性影响。结果发现，3岁以下开始患癫痫的儿童不仅需要仔细的鉴别诊断，更需要全面的治疗管理，这除了包括系统给药和定期脑电图检查外，还应包括持续的心理和精神监督与护理，以确保在家庭内外可能实现心理技能和社会适应的最佳发展。
