| Clinical Study of Patients with Benign Rolandic Epilepsy(BRE). |
|
Seung Koog Kim, Sung Ho Cha, Sa Jun Chung, Chang Il Ahn |
|
Department of Pediatrics, College of Medicine, Kyung Hee University, Seoul, Korea |
| Benign Rolandic Epilepsy에 대한 임상적 고찰 |
|
김승국, 차성호, 정사준, 안창일 |
|
경희대학교 의과대학 소아과학교실 |
|
Received: 17 June 1988 • Accepted: 22 September 1988 |
|
|
| Abstract |
|
BRE, probably the commonest varierity of partial epilepsy in childhood has 6 characteristics; it
occurs in children, without neuropsychiatric antecidents, never related to progressive cerebral lesion,
interictal EEG shows Rolandic spikes, the seizure are varied and there is always recovery in puberty
at the latest.
We reviewed 70 patients with BRE to observe the age and sex distribution, EEG findings, clinical
sign and symptoms, treatment pattern and prognosis after treatment from Jan. 1983 to May 1987.
The result as follows;
1) The male to female incidence ratio was 1.5:1. The age of seizure on t were 4 - 12 years old in
87.1 % with a clear maximum at 7 -9 years old (32.8%) and no patient was above 15 years old.
2) More than half of the seizure (68.6%) occured during sleep and 33.4% occured during awake.
Duration of seizure was below few seconds (55.7%) and below 30 minutes (98.6%).
3) Family history of epilepsy was obtained in 17.1 %. Among the birth history, neonatal anoxia was
obtained in 4.3% and 1.4% of patients were born prematurely.
4) Pattern of seizure shows generalized tonic and/ or clonic seizure (48.6%), jerks of extrimities (34.
3%), hemifacial jerk (32.9%), oropharyngeal sign (15.7%), abdominal pain (1 1.4%) and aphonia (7.1%).
5) In 52 patients (74.3%) the seizure did not recur after treatment was started. In 9 patients (12.9%)
the seizure persisted for 3 months to 1 year and then disappeared when the dose of medication was
increased. In 9 patients (12.9%) the seizure persisted more than 1 year or recurred after one to many
years. |
| Key Words:
Benign Rolandic Epilepsy (BRE), Rolandic spike |
|
PDF Links
Download Citation
