| Clinical study on epileptiform discharge in children. |
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Wonil Park, Hong Jin Lee, Kung Ja Lee |
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Department of Pediatrics, Chuncheon Sacred Heart Hospital, College of Medicine Hallym University Chuncheon, Korea |
| 소아 간질의 간질성 발작파에 관한 고찰 |
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박원일, 이홍진, 이경자 |
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한림대학교 의과대학 춘천성심병원 소아과학교실 |
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Received: 13 June 1991 • Accepted: 4 July 1991 |
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| Abstract |
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Seizures are the most common neurologic manifestation in childhood. The demonstration of
epileptiform disshonge on EEG not only support clinical diagnosis but also aid the classification of
epilepsy.
174 patients with recurrent seizure were taken EEG studies in Chuncheon Sacred Heart Hospital
from Jan. 1985 to Dec. 1990. and 71 patients (40.8%) of them occured epilepiform discharge in inital
EEG recording.
The incidence of epilepiform pattern in our study showed that centrotemporal spike was most
frequent epileptiform discharge (29.6%) throughout the childhood and that localized spike (26.8%),
Poly SW (8.5%), Atypical SW.(7.0%), Slow SW (7.0%), 3 Hz SW, MuS, hypsarrythmia, PFA occured
in order of frequency.
The incidence of epileptiform discharge at different age was observed that hypasrrythmia PFA and
MuS occurred in mainly infancy and early childhood, fell rapidly with time, and that Poly SW and
Slow SW occured through childhood, and that centrotemporal spike peaked school age and fell with
the time, and that atypical SW and 3 Hz SW occured late childhood and peaked aldolescence.
Localized spikes occured beyond infancy.
The classification of epilepsy according to epileptiform discharge showed that partial epilepsy (57.
3%) was more frequently occured than generalized epilepsy, and that BRE was the most frequent
epileptic syndrome in childhood.
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| Key Words:
Epileptiform discharge |
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