Costeff H, Avni A
Dev Med Child Neurol. 1982 Aug;24(4):472-8. doi: 10.1111/j.1469-8749.1982.tb13651.x.
A detailed medical history is commonly regarded as a reliable means of classifying unexplained childhood losses of consciousness into diagnostic groups such as febrile seizures, epileptic attacks and breath-holding spells. The authors have tested this assumption by comparing adolescent follow-up status with the initial medical history in 56 individuals who suffered sudden losses of consciousness before age five. Only three of these 56 were epileptic when followed-up in adolescence and only two had received anticonvulsants at any time. The prognosis for 26 individuals with afebrile seizures without evidence of breath-holding syncope was not significantly worse than that for another 16 with febrile seizures. These findings indicate a good prognosis for untreated childhood seizures of a type often classified as epileptic.
详细的病史通常被视为将不明原因的儿童意识丧失分类到诊断组（如热性惊厥、癫痫发作和屏气发作）的可靠方法。作者通过比较56名5岁前突然意识丧失的个体的青少年随访状况与初始病史，对这一假设进行了检验。在这56人中，只有3人在青少年期随访时患有癫痫，只有2人曾在任何时候接受过抗惊厥药物治疗。26例无屏气性晕厥证据的无热惊厥患者的预后，并不比另外16例热性惊厥患者的预后差很多。这些发现表明，对于未经治疗的通常被归类为癫痫的儿童期发作，预后良好。
