| Clinical Study of Epilepsy in Children. |
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Byeng Gu Min1, Chan Young Kim2 |
1Department of Pediatrics, Maryknoll Hospital, Pusan, Korea
2Department of Pediatrics, College of Medicine, Pusan National University, Pusan, Korea |
| 소아간질의 임상적 고찰 |
|
민병구1, 김찬영2 |
1부산메리놀병원 소아과
2부산대학교 의과대학 소아과학교실 |
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Received: 8 January 1990 • Accepted: 15 January 1990 |
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| Abstract |
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The author analyzed the seizure types, clinical symptoms, and laboratory examinations in 156
epileptic children who were admitted to Maryknoll Hospital during the 6 years since June 1983 >
The results were summarized as follows:
1) Of the 156 epileptic children, 48.1% exhibited generalized seizures, 37.2% partial seizures, 10.
2% unclassified seizures. The most common type was tonic-clonic seizure (37.8%).
2) Epilepsy was most frequent in children from birth to 6 years of age (62.2%).
3) The presumed causes of epilepsy, in order of frequency, were birth trauma, head trauma,
neonatal hypoxia, meningitis and prematurity. The incidence of febrile seizure was 16.0% and the
incidence of convulsion in family history was 7.7%, and incidence of both was 3.2%.
4) In the 156 children, the abnormal EEG findings were found in 78.2%. Of those patients, the most
common abnormal EEG findings was dysrhythmia III pattern (42.9%). Abnormal EEG findings were
found more commonly in partial seizure (86.2%) than in generalized seizure (70.7%). Of those
patients, 39.0% showed abnormality in brain CT and the focal lesions were more common than the
bilateral.
5) The abnormal findings in brain CT were 35.1% and the abnormal findings were found more
commonly in partial seizure (54.9%) than in generalized seizure. The common abnormal findings
were cerebral atrophy. The dysrhythmia pattern of EEG findings were more commonly found in
patients with brain atrophy and hydrocephalus.
6) The effective control rate of epileptic patients with antieptic drugs was 89.5%. |
| Key Words:
Epilepsy in children. |
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