Johnson D L, Conry J, O'Donnell R
Children's Hospital, Milton S. Hershey Medical Center, Penn State University, Hershey, Pa., USA.
Pediatr Neurosurg. 1996;24(5):223-7; discussion 227-8. doi: 10.1159/000121043.
Epilepsy was evident in 308 of 817 (38%) children with shunted hydrocephalus. The first seizure occurred after shunting in 181 of 817 (22%), a median of 1.6 years after the original shunt procedure. The incidence of seizures was not statistically different in the parietooccipital, parietotemporal, or frontal region. Over a 15-year period, 16 of 544 (2.9%) visits to the emergency room for seizures culminated in shunt revision, and 16 of 1,831 (0.9%) shunt revisions were associated with a seizure. Although seizures in shunted patients are not uncommon, a seizure is seldom an indication of shunt malfunction.
在817例接受分流术治疗脑积水的儿童中，有308例（38%）出现癫痫。首次癫痫发作发生在分流术后的有817例中的181例（22%），自最初分流手术起的中位时间为1.6年。癫痫发作的发生率在顶枕部、颞顶部或额叶区域无统计学差异。在15年期间，544次因癫痫发作到急诊室就诊的病例中有16例（2.9%）最终进行了分流术修订，而1831次分流术修订中有16例（0.9%）与癫痫发作相关。尽管分流术后患者出现癫痫并不罕见，但癫痫很少是分流装置故障的指征。
