Kruse R
Epilepsiezentrum Kork.
Monatsschr Kinderheilkd. 1993 Feb;141(2):85-93.
Focal epilepsies of childhood with complex partial seizures, with or without secondarily generalized seizures are reviewed. Particular emphasis is placed on the semiology of seizures, which are subdivided into: aura, disturbance of consciousness, speech disturbances, automatims, and other motor and vegetative seizure symptoms. The significance of routine ictal and interictal EGGs and their importance for the localization is discussed. Recent neuropathological findings and etiology are presented and the courses epilepsies can take (especially those involving febrile convulsions), prognosis and long-term therapy with standard antieleptic drugs. A definition of pharmacoresistance is given, a prerequisite for surgical therapy, which in turn necissitates special presurgical diagnostic procedures [corrected].
本文回顾了伴有复杂部分性发作、有或无继发性全身性发作的儿童局灶性癫痫。特别强调了发作的症状学,发作症状可细分为:先兆、意识障碍、言语障碍、自动症以及其他运动和自主神经发作症状。讨论了常规发作期和发作间期脑电图的意义及其在定位方面的重要性。介绍了近期的神经病理学发现和病因,以及癫痫可能的病程(尤其是那些涉及热性惊厥的病程)、预后和使用标准抗癫痫药物的长期治疗。给出了药物抵抗的定义,这是手术治疗的前提条件,而手术治疗反过来又需要特殊的术前诊断程序[已修正]。