Epilepsy in children with cerebral palsy
| Autor: | Sérgio A. Antoniuk, Carlos Pacheco, Romeu Hausberger, Ricardo Schmitt de Bem, Adriane Spessatto, Isac Bruck |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2001 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Adolescent neonatal seizures First year of life Neurosciences. Biological psychiatry. Neuropsychiatry Severity of Illness Index crises neonatais Cerebral palsy lcsh:RC321-571 Epilepsy Risk Factors paralisia cerebral Severity of illness medicine Prevalence Humans Family history Child lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry Retrospective Studies cerebral palsy business.industry Incidence (epidemiology) Cerebral Palsy Incidence Infant Retrospective cohort study medicine.disease Neurology Epilepsy in children Child Preschool epilepsy Anticonvulsants Female Neurology (clinical) business epilepsia Brazil RC321-571 Follow-Up Studies |
| Zdroj: | Arquivos de Neuro-Psiquiatria v.59 n.1 2001 Arquivos de neuro-psiquiatria Academia Brasileira de Neurologia instacron:ABNEURO Arquivos de Neuro-Psiquiatria, Vol 59, Iss 1, Pp 35-39 (2001) Arquivos de Neuro-Psiquiatria, Volume: 59, Issue: 1, Pages: 35-39, Published: MAR 2001 |
| Popis: | OBJECTIVE: To describe the prevalence and characteristics of epilepsy in patients with cerebral palsy in a tertiary center. METHODS: a total of 100 consecutive patients with cerebral palsy were retrospectively studied. Criteria for inclusion were follow-up period for at least 2 years. Types and incidence of epilepsy were correlated with the different forms of cerebral palsy. Other factors associated with epilepsy such as age of first seizure, neonatal seizures and family history of epilepsy were also analysed. RESULTS: follow-up ranged between 24 and 151 months (mean 57 months). The overall prevalence of epilepsy was 62%. Incidence of epilepsy was predominant in patients with hemiplegic and tetraplegic palsies: 70.6% and 66.1%, respectively. First seizure occurred during the first year of life in 74.2% of patients with epilepsy. Generalized and partial were the predominant types of epilepsy (61.3% and 27.4%, respectively). Thirty-three (53.2%) of 62 patients were seizure free for at least 1 year. Neonatal seizures and family history of epilepsy were associated with a higher incidence of epilepsy. CONCLUSIONS: epilepsy in cerebral palsy can be predicted if seizures occur in the first year of life, in neonatal period and if there is family history of epilepsy. OBJETIVO: descrever sobre a prevalência e características da epilepsia em crianças com paralisia cerebral atendidas num serviço terciário. MÉTODO: um total de 100 pacientes com paralisia cerebral foi estudado retrospectivamente, tendo como critérios de inclusão o seguimento regular por pelo menos 2 anos. Os tipos e a incidência de epilepsia foram correlacionados com as diferentes formas de paralisia cerebral. Outros fatores associados com a ocorrência de epilepsia como idade da primeira crise, crises neonatais e história familiar de epilepsia também foram analisados. RESULTADOS: o tempo de seguimento variou de 24 a 151 meses (média 57 meses). A prevalência total de epilepsia foi 62%. Os pacientes com as formas hemiplégicas e tetraplégicas de paralisia cerebral tiveram a maior incidência de epilepsia: 70,6% e 66,1%, respectivamente. A primeira crise ocorreu durante o primeiro ano de vida em 74,2% dos pacientes com epilepsia. As epilepsias do tipo generalizada e parcial foram as predominantes (61,3% e 27,4%, respectivamente). Trinta e três (53,2%) de 62 pacientes permaneciam há pelo menos um ano livres das crises. Crises neonatais e história familiar de epilepsia estiveram associadas com maior incidência de epilepsia. CONCLUSÕES: epilepsia na paralisia cerebral pode ser prevista se ocorrerem crises no primeiro ano de vida e no período neonatal, e se existe história familiar de epilepsia. |
| Databáze: | OpenAIRE |
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