台湾儿童枕部癫痫综合征:临床特征与结果。

Inn-Chi Lee, Peng-Cheng Fang, Yung-Jung Chen
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引用次数: 0

摘要

本研究旨在探讨早发性和晚发性儿童癫痫伴枕发作(ECEOP和LCEOP)和症状性枕癫痫(SOLE)三种类型枕癫痫综合征的临床特点和预后。方法回顾性分析54例患儿(ECEOP 18例,LCEOP 10例,SOLE 26例)的病历,比较患者的临床特征、脑电图表现、治疗方法和预后。结果ECEOP患者夜间发作率为55%,LCEOP和SOLE患者日间发作率分别为80%和61% (P = 0.04)。癫痫持续状态在ECEOP组中更为常见,在LCEOP组中较少。自主神经光环在SOLE组比其他两组更常见。SOLE组继发全面性癫痫发作较多(P = 0.03)。随访5年后,ECEOP组72%、LCEOP组60%、SOLE组19.2%的脑电图改变并恢复正常。与其他两组相比,SOLE组脑电背景活动缓慢更为明显。这两组患者的预后是不同的。ECEOP组疗效最好,SOLE组最差。结论这三种症状的某些临床特征存在差异,可为临床医生确定其中一种儿童枕癫痫综合征的适当诊断提供依据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Childhood occipital epileptic syndromes in Taiwan: clinical characteristics and outcomes.
BACKGROUND The present study aimed to elucidate the clinical characteristics and outcomes of three types of occipital epileptic syndromes: early-onset and late-onset childhood epilepsy with occipital paroxysm (ECEOP and LCEOP) and symptomatic occipital epilepsy (SOLE). METHODS We retrospectively reviewed the medical records of 54 children (18 ECEOP, 10 LCEOP, and 26 SOLE) and compared the clinical features, EEG findings, treatments, and outcomes among these patients. RESULTS Nocturnal seizures occurred in 55% of the patients with ECEOP, whereas of those with LCEOP and SOLE, 80% and 61% had diurnal seizures, respectively (P = 0.04). Status epilepticus was more common in the ECEOP group, less in LCEOP. Autonomic auras were more common in the SOLE group than in the other two groups. Secondary generalized seizure was often found in the SOLE group (P = 0.03). EEG findings in 72% of the ECEOP group, 60% of the LCEOP group, and 19.2% in the SOLE group were changeable and became to be normal after 5 years of follow-up. Slow EEG background activity was more evident in the SOLE group than in the other two groups. The prognoses of these groups of patients were different. The ECEOP group had the best, and the SOLE group had the worst. CONCLUSIONS These findings suggest that some clinical features of these three syndromes differ from each other, which may provide clinicians a basis for determining the appropriate diagnosis in children with one of these childhood occipital epileptic syndromes.
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