medigraphic.com
ISSN 2225-4676 (Electronic)

2012, Number 2

<< Back Next >>

Rev Cubana Neurol Neurocir 2012; 2 (2)

Characteristics of epilepsy before first year of life in Pediatric Hospital of Centro Habana from 2004 to 2009

Portuondo BE

Language: Spanish
References: 39
Page: 121-128
PDF size: 258.76 Kb.


ABSTRACT

Introduction: Epilepsy of early presentation has a special relevance by its association with poor prognosis related with cause.
Methods: A descriptive study was carried out of epilepsy presented before first year of life, with first afebrile crisis and no acute symptomatic. The sample included cases assisted in Neuropediatric Service of Pediatric University Hospital of Centro Habana form January 1, 2004 to December 31, 2009. The patients were compared in the following categories: idiopathic, symptomatic, and probably symptomatic.
Results: 41 patients were included: 23 with idiopathic epilepsy, 17 with symptomatic epilepsy and 1 with probably symptomatic. In children with idiopathic epilepsy 14 have family history of epilepsy. In symptomatic epilepsy were reported 29 prenatal antecedents. 20 patients have more than one prenatal and familiar antecedent. The more frequent cause was included in prenatal origin (15) and perinatal (10), combined in one patient with more than one origin. According electroencephalographic characteristic: 12 are generalized, 26 without generalization, and 3 with hypsarrhythmia and West syndrome. In relation with the psychomotor development normality was detected in 22 patients, 8 have mild retardation and 11 moderate to severe retardation.
Conclusions: This study is compatible with the existence of benign epilepsies and good prognosis before first year.


REFERENCES

  1. Farrel K. Classifying epileptic syndromes: Problems and neurobiological solution. Neurology. 1993; 43 (suppl 5):58–1.

  2. Pérez–Delgado R, Galve–Pradel Z, López–Pisón J, Soria–Marzo A , García–Oguiza, Peña–Segura JL. Epilepsia de inicio entre los 3 y 12 meses de edad. Nuestra experiencia de 10 años. Rev Neurol. 2008;47(11):561–65.

  3. Bernd AN, Sthepanie G, Andreas H. epilepsy in childhood and Adolescence. Deutsches arzteblant international: DTSCH. Arztebl in 2008;105(17):319–28.

  4. Palencia– Luaces P. Convulsiones en la edad pediátrica y Epilepsia. En: Cruz M, ed. Tratado de pediatría. 8 ed. Editorial Océano; 2007. p. 1812–26.

  5. Durá– Travé T .Voldi– Petri ME, Hualde– Olascoaga, Etayo– Etayo V. Epilepsias y Síndrome epilépticos durante el primer año de vida. Rev Neurol. 2009;48:281–4.

  6. Arzimanoglov A , Guerrini R, Aicardi J. Epilpsy: Overview and definitions. En: Aicardi, ed. Aicardi´s epilepsy in children 3 ed. London: Lippincott Willians & Wilkins; 2004. p.1–6.

  7. Durá–Travé T, Voldi–Petri ME, Gallinas–Victoriano F. Incidente of Epilepsies and Epileptic síndromes among children in Navarre, Spain: 2002 through 2005. J Child Neurol. 2008;23:878– 82.

  8. Panayayiotopoulos CP. Epileptic encephalopaties in infancy and early child–hood. In Panayiotopoulos CP. A clinical guide to epileptic syndromes and their treatment. London: Springer– Herlag; 2007. pp.223–71.

  9. Berg AT, Berkovic SF, Brodie MJ, Buchhalter J, Cross JH, van Emde BW,Engel J, French J, Glauser TA, Mathern GW, Moshé SL, Nordli D, Plouin .P, Scheffer .IE. Revised terminology and concepts for organization of seizures and epilepsies: Report of the ILAE Commission on Classification and Terminology, 2005–2009. Epilepsia. 2010;51:676–85.

  10. Tuchman RF, Moshe SL, Raphin I: Trastorno del neurodesarrollo y Epilepsia. Rev. Neurol. 2005;40(supl 1):S3–S10.

  11. Herranz JL. Repercusión cognitiva de las epilepsias precoces. Rev Neurol 2007; 44: 543–45.

  12. Englot. DJ, Blumenfeld.H: Consciousness and Epilepsy:Why are complex– partial seizures complex? Prog Brain Res. 2009;177:147–70.

  13. Kaleyias J, Khurana DS, Valencia I, Legido A, Kothare SV. Benign partial epilepsy in infancy: Myth or reality? Epilepsia. 2006;47:1043–49.

  14. Speclhio N, Vigevano F. The spectrum of benign infantil seizures. Epilepsy Res. 2006;70:156–67.

  15. Tanabe T, Hara K, Kashiwagi M, Tamai H. Classification of benign infantile afebrils seizures. Epilepsy Res. 2006;70:185–89.

  16. Okumara A, Watanabe K, Negoro T, Hayakawa F, Kato T, Natsume J. Ictal EEG in benign partial Epilepsy in infancy. Pediatr Neurol. 2007;36:8–12.

  17. Gauser T, Ben– Menachem E, Bourgeois B, et al. ILAE treatment guidelines: Evidence– based analysis of antiepileptic drug efficacy and effectiveness as initial monotherapy for epileptic seizures and syndromes. Epilepsia. 2006;47:1094–20.

  18. Commission on classification and terminology of the international league against epilepsy. Proposal for revised classification of epilepsies and epileptic syndromes. Epilepsia. 1989;30:389–99.

  19. Commission on epidemiology and prognosis, international league against epilepty. Guidelines for epidemiological studies on Epilepsy. Epilepsia. 1993;34:592–96.

  20. Medina – Malo C. Epilepsia: Clasificación para un enfoque diagnóstico según etiología y complejidades. Rev Neurol. 2010;50(supl 3):S25–30.

  21. Doonam NB, Filippi D, Hauser WA. The descriptive epidemiology of epilepsy–a– review. Epilepsy Res. 2009;85(1):31–45.

  22. García–Cazorla A. Enfermedades neurometabólicas: orientación para el neuropediatra. Rev Neurol. 2008;47 (supl 1):S55–S63.

  23. López–Pisón J, Arana T, Albenia P, Galván M, Muñoz–Albillos M. Casuística de Epilepsias Idiopáticas y Criptogénicas en una unidad de neuropediatría de referencia regional. Rev Neurol. 2000;31:733–38.

  24. López–Pisón J, Arana T, Albenia P, Feraz S, Muñoz– Albillos M, Rebage V. Casuística de Epilepsias Sintomáticas en una unidad de neuropediatría de referencia regional. Rev Neurol. 2001;32:118–22.

  25. ILAE Commission report. The epidemiology of the epilepsias: Future directions. Epilepsia. 1997; 38: 614–18.

  26. Congreso internacional de Epilepsia de la ILAE. Budapest, 2009. [citado: 1.11.2011]. Disponible en: http://www.ILAE.org/visitor/centre/CFT/CTFOOVERVIEW.CFm

  27. Sara–Puig J. Nueva propuesta de la clasificación de las crisis epilépticas de la Epilepsia de la liga Internacional de la Epilepsia (ILAE). Rev Neurol. 2011;52:513–4

  28. Gómez–Alonso J, Bellas–Lamas P. Nueva clasificación de las epilepsias de la Liga Internacional contra la Epilepsia (ILAE): ¿un paso en dirección equivocada? Rev Neurol. 2011;52:541–7.

  29. Ferrie CD. Terminology and organization of seizures and epilepsies: Radical changes not justified by new evidence. Epilepsia. 2010;51:713–4.

  30. Berg AT. Classification and Epilepsy: The future awaits. Epilepsy Currents. 2011;11(5):138–40.

  31. Durá–Travé T, Yoldi–Petri ME, Gallinas–Victoriano F. Estudio descriptivo de la epilepsia infantil. Rev Neurol. 2007;44:720–4.

  32. Caraballo R, Cersósimo R, Galicchio S, Fejerman N. Epilepsias en el primer año de vida. Rev Neurol. 2007;25:1521–4.

  33. López–Pisón J, García–Orguiza A, Sáenz de Cacéres A, Eiras J, Vertol V, Peña–Segura JL. Epilepsias refractarias en pediatría. Diagnóstico y tratamiento. Acta Pediatr Esp. 2007;65:157–64.

  34. Prats–Viña JM, Garaizar C, Ruiz–Espinosa C. Epilepsia mioclónica benigna del lactante. Rev Neurol. 2002;34:201–4.

  35. Ruggieri VL. Epilepsia de comienzo en la lactancia y la infancia temprana. Rev Neurol. 2004;39:251–62.

  36. Okumura A, Watenabe K, Negoro T, Hayakawa F, Kato T, Natsume J. The clinical characterizations of benign partial epilepsy in infancy. Neuropediatrics. 2006;37:359–63.

  37. Engel JK. Report of the ILAE Classification core group. Epilepsia. 2006;47:1558–68.

  38. Panayiotopoulos C. Idiopathic epileptic seizures and syndromes in infancy. in Panayiotopoulos CP. A clinical guide to epileptic syndromes and their treatment. London: Springer– verlag; 2007. pp. 207–22.

  39. Berg AT. Epilepsy, cognition and behavior: the clinical picture. Epilepsia. 2011;52(suppl 1):7–12.




2020     |     www.medigraphic.com