Rogel OFJ

Language: Spanish
References: 36
Page: 119-124
PDF size: 90.41 Kb.

ABSTRACT

Introduction: Idiopathic epilepsies (IE) constitute a heterogeneous group of epilepsies, with onset spanning from early postnatal period to adult life. IE display variable seizures patterns, e.g.: simple motor seizures, absence seizures, myoclonic seizures and generalized tonic-clonic seizures. Being the IE such a variable group of seizures, they also are characterized by both a variable clinical course and prognosis, since they can run from spontaneous remission, as in Rolandic epilepsy, to pharmacoresistance, as in some cases of juvenile myoclonic epilepsy. Though a high percentage of the cases may be under complete control, in others, the disease may persist all life long. The common link of all IE is the presence of a genetic factor in the origin of all of them; this genetic factor is different, according to seizure type, but it is the only etiologic factor. In spite of being IE diseases of common occurrence, surprisingly IE are not well known by general physicians, pediatricians, and even neurologists. Material and method: We present 25 cases of IE, in which the correct diagnosis was established after a long delay, with obvious harmful effects in the patient’s quality of life. The pertinent medical literature is also reviewed and our results compared to those of others. Results: The sindromatic distribution of 25 studied cases reported 13 cases of juvenile myoclonic epilepsy, seven cases of epilepsy absences of the child, four cases of epilepsies absences of the teenager and one case of benign epilepsy of the child. Conclusion: The high frequency of the EI in the medical practice makes an opportune diagnosis necessary, especially for the great ignorance that exists of this group of epilepsies on the part of the medical community, specially the neurologists.

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