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Structural epilepsy in children: risk factors, clinical and electroencephalographic manifestations and therapy

https://doi.org/10.33667/2078-5631-2020-1-31-35

Abstract

The article presents the results of a retrospective study of 150 children aged 1 to 6 years old, divided into three groups: 50 children with structural epilepsy with cerebral palsy, 50 children with cerebral palsy without epilepsy, but with epileptiform changes in the electroencephalogram (EEG) and 50 neurologically healthy children with epileptiform discharges in the EEG. All patients performed analyze of medical history, general clinical and neurological examination, EEG, neuroimaging study (CT-scan or magnetic resonance imaging). As a result of the analysis of the obtained data, the risk factors for the development of epilepsy were established: a burdened obstetric history, the threat of abortion, gestosis, prematurity, hardware resuscitation, low Apgar rating, neonatal seizures, diffuse epileptiform activity on the EEG, generalized epileptiform activity, delayed formation of spontaneous electrogen, specific epileptiform patterns, as well as confirmed structural pathology. Effective therapeutic control of seizures was achieved in 18 % of cases.

About the Authors

F. A. Murachueva
Dagestan State Medical University
Russian Federation

Makhachkala



L. G. Geybatova
Dagestan State Medical University
Russian Federation

Makhachkala



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For citations:


Murachueva F.A., Geybatova L.G. Structural epilepsy in children: risk factors, clinical and electroencephalographic manifestations and therapy. Medical alphabet. 2020;(1):31-35. (In Russ.) https://doi.org/10.33667/2078-5631-2020-1-31-35

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ISSN 2078-5631 (Print)
ISSN 2949-2807 (Online)