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儿童期癫痫性睡眠发作(作者译)

[Epileptic sleep seizures in childhood (author's transl)].

作者信息

Nieto Barrera M, Rufo Campos M, Jiménez Ayllón M, Candau Fernández Mensaque R

出版信息

An Esp Pediatr. 1978 Feb;11(2):127-38.

PMID:655508
Abstract

64 children with seizures occuring during sleep were studied. No claim is made to definitive clinical results, but the clinical peculiarities of certain epileptic crises that tend to occur more frequently in sleep are presented. In 62.5% of all our cases are being treated as benign epilepsy, with centro-temporal E.E.G. foci and typical characteristics of age, hour of appearance and therapeutic response. In 32.5% are generalized seizures, and these have the widest age range at onset. The fits are at times unrelated to the length of previous sleep and respond less favourably to treatment. In 5% are either unilateral seizures or partial complex one. The incidence of a positive family history is higher than found in other epileptic groups, suggesting that sleep seizures are genetically determined.

摘要

对64例睡眠期间发作癫痫的儿童进行了研究。本研究未宣称有明确的临床结果,但介绍了某些倾向于在睡眠中更频繁发生的癫痫发作的临床特点。在我们所有病例中,62.5%被视为良性癫痫,具有中央颞区脑电图病灶以及年龄、发作时间和治疗反应的典型特征。32.5%为全身性发作,这些发作的起病年龄范围最广。发作有时与先前睡眠时长无关,对治疗的反应较差。5%为单侧发作或部分性复杂性发作。阳性家族史的发生率高于其他癫痫组,提示睡眠发作由遗传决定。

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