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伴有复杂部分性发作的婴儿良性部分性癫痫(渡边综合征):12例非日本新病例

Benign partial epilepsy in infancy with complex partial seizures (Watanabe's syndrome): 12 non-Japanese new cases.

作者信息

Capovilla G, Giordano L, Tiberti S, Valseriati D, Menegati E

机构信息

Department of Neuropediatrics, C. Poma Hospital, Mantova, Italy.

出版信息

Brain Dev. 1998 Mar;20(2):105-11. doi: 10.1016/s0387-7604(98)00005-9.

Abstract

International epilepsy classification includes different epileptic syndromes with favourable outcomes in pediatric age. In addition to these, other forms probably exist and in various papers in international literature they are proposed as new entities. This article presents a survey of benign complex partial epilepsy in infancy, a new epileptic syndrome first proposed by Watanabe, in 1987. Our work represents the only description of non-Japanese cases although similar but familial cases had been referred by Vigevano in 1992. We present data for 12 children (aged up to 9 years) followed over 2 years who had all the typical clinical features characterizing Watanabe's cases. For all of them we obtained EEG seizure recordings demonstrating the partial nature of their fits, arising from occipital or temporal regions. Interictal EEG were completely normal, both in waking and sleep. Evolution demonstrated benign outcome and all the children are seizure-free (eight of them have already stopped all medication) and all have normal psychomotor development.

摘要

国际癫痫分类包括在儿童期预后良好的不同癫痫综合征。除此之外,可能还存在其他形式,国际文献中的各种论文将它们作为新的实体提出。本文对婴儿期良性复杂性部分性癫痫进行了综述,这是1987年由渡边首次提出的一种新的癫痫综合征。我们的研究是对非日本病例的唯一描述,尽管1992年维杰瓦诺曾提及过类似的家族性病例。我们提供了12名儿童(年龄最大9岁)的资料,这些儿童经过了2年的随访,他们具有渡边病例的所有典型临床特征。对所有这些儿童,我们获得了癫痫发作的脑电图记录,证明其发作具有部分性,起源于枕叶或颞叶区域。发作间期脑电图在清醒和睡眠状态下均完全正常。病情演变显示预后良好,所有儿童均无癫痫发作(其中8名儿童已停用所有药物),且所有儿童的精神运动发育均正常。

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