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新生儿和小婴儿的癫痫发作。

Seizures in the newborn and young infants.

作者信息

Watanabe K

出版信息

Folia Psychiatr Neurol Jpn. 1981;35(3):275-80. doi: 10.1111/j.1440-1819.1981.tb00226.x.

DOI:10.1111/j.1440-1819.1981.tb00226.x
PMID:6799369
Abstract

The electro-clinical features of neonatal seizures were described. Although they were usually secondary to the underlying pathological process, there were a few cases of benign familial convulsions which seemed to be dominantly inherited. In the new born, clinical seizures occurred mainly in active-REM sleep in contrast to those in the older children and adults. Atypical seizures were also seen in young infants, although less frequently than in the newborn. There were a considerable number of epilepsies beginning in the first year of life associated with a favorable prognosis. Unclassified epilepsies manifesting as brief generalized motor seizures with normal interictal EEGs showed the most favorable outlook, while infantile spasms and other secondary generalized epilepsies had the worst outcome. Partial seizures were intermediate between the above two.

摘要

本文描述了新生儿惊厥的电临床特征。尽管惊厥通常继发于潜在的病理过程,但仍有少数良性家族性惊厥病例,似乎为显性遗传。新生儿的临床惊厥主要发生在快速眼动睡眠期,这与大龄儿童和成人不同。非典型惊厥在幼儿中也有出现,尽管比新生儿中少见。相当数量的癫痫始于生命的第一年,预后良好。表现为短暂全身性运动性惊厥且发作间期脑电图正常的未分类癫痫预后最佳,而婴儿痉挛症和其他继发性全身性癫痫预后最差。部分性惊厥的预后介于上述两者之间。

相似文献

1
Seizures in the newborn and young infants.新生儿和小婴儿的癫痫发作。
Folia Psychiatr Neurol Jpn. 1981;35(3):275-80. doi: 10.1111/j.1440-1819.1981.tb00226.x.
2
[Development of the electroencephalogram and the significance of neonatal convulsions in premature infants].[脑电图的发育及早产儿新生儿惊厥的意义]
Monatsschr Kinderheilkd. 1986 Sep;134(9):658-61.
3
Benign familial neonatal convulsions: abnormal intrauterine movements, provocation by feeding and ICTAL EEG.良性家族性新生儿惊厥:宫内运动异常、喂养诱发及发作期脑电图
Seizure. 1997 Dec;6(6):485-6. doi: 10.1016/s1059-1311(97)80025-8.
4
Facilitation of infantile spasms by partial seizures.部分性癫痫发作对婴儿痉挛症的促发作用。
Epilepsia. 1993 Jan-Feb;34(1):97-109. doi: 10.1111/j.1528-1157.1993.tb02381.x.
5
The predictive value of the type of seizure onset in infants with epileptic spasms and partial seizures within a single ictal event.癫痫性痉挛和单次发作事件内部分发作婴儿发作起始类型的预测价值。
Epilepsia. 2003 Dec;44(12):1605-6. doi: 10.1111/j.0013-9580.2003.t01-1-33003.x.
6
Benign familial neonatal convulsions: generalized epilepsy?
Pediatr Neurol. 1992 May-Jun;8(3):226-8. doi: 10.1016/0887-8994(92)90074-9.
7
Benign familial neonatal seizures: clinical and electroencephalographic characteristics.良性家族性新生儿惊厥:临床及脑电图特征
Pediatr Neurol. 1986 Sep-Oct;2(5):272-5. doi: 10.1016/0887-8994(86)90018-4.
8
Infantile epilepsy with occipital focus and good prognosis.具有枕叶病灶且预后良好的婴儿癫痫。
Eur Neurol. 1983;22(1):43-52. doi: 10.1159/000115535.
9
[Familial and non-familial benign infantile seizures: A homogeneous entity?].[家族性和非家族性良性婴儿惊厥:是同一类疾病吗?]
Rev Neurol (Paris). 2011 Aug-Sep;167(8-9):592-9. doi: 10.1016/j.neurol.2011.01.005. Epub 2011 May 17.
10
Clinical imitators of infantile spasms.婴儿痉挛症的临床模仿者
J Child Neurol. 1992 Oct;7(4):395-9. doi: 10.1177/088307389200700412.

引用本文的文献

1
Benign and severe early-life seizures: a round in the first year of life.良性和严重婴儿期癫痫发作:一岁以内的一轮发作。
Ital J Pediatr. 2018 May 15;44(1):54. doi: 10.1186/s13052-018-0491-z.