| Autor: |
Deng-Na, Zhu, Jun, Wang, Yan-Jie, Jia, Guo-Hui, Niu, Li, Sun, Hua-Chun, Xiong, Hong-Yin, Zhai, Hai, Chen, Lin-Chen, Li |
| Rok vydání: |
2010 |
| Předmět: |
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| Zdroj: |
Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics. 12(12) |
| ISSN: |
1008-8830 |
| Popis: |
To study the clinical features of non-epileptic seizures associated with cerebral palsy (CP) in children.A total of 1 198 children with CP (age: 9 months to 6 years) were enrolled. The children with paroxysmal events were monitored by 24 hrs video-EEG (VEEG) to make sure the seizures were epileptic or non-epileptic. The symptoms, age, CP types and EEG features were observed in children with non-epileptic CP.Five hundred and seventy-eight children (48.24%) presented paroxysmal events. The seizures were epileptic in 231 children (19.28%) and non-epileptic in 322 cases (26.88%). In the 322 cases of non-epileptic CP, the paroxysmal events were of various kinds, including non-epileptic seizure tonic, seizure shake head, shrug shoulder or head hypsokinesis, cry or scream, panic attacks, sleep myoclonic and stereotyped movement. One hundred and fifty-eight (49.1%) out of the 322 children demonstrated nonspecific EEG abnormalities. One hundred and eleven children (34.5%) were misdiagnosed as epilepsy in primary hospitals. The CP children less than one year old showed higher frequency of non-epileptic seizures than the age groups over 1 year and 3 to 6 years. The frequency of non-epileptic seizures was the highest in children with spastic CP (168 cases, 52.2%), followed by dyskinetic CP (69 cases, 21.4%) and mixed type CP (65 cases, 20.2%).The paroxysmal events in children with CP partially are non-epileptic seizures and it is important to differentiate non-epileptic from epileptic seizures. The frequencies of non-epileptic seizures may be associated with a child's age and CP type. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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