[Variability of epileptic seizure phenomenology in infants and children].
It is well known that some patients may have two or more different types of seizures. Partial epilepsies and more than 15 different epileptic syndromes (e.g. West or Lennox-Gastaut syndrome or epilepsies with absences) can lead to the intraindividual manifestation of two or more seizure types. Among 728 children with epilepsy seen at the outpatient department 9.1% had two different types of seizures and 1.5% had more than two types of seizures. The most common association observed was between tonic-clonic seizures and absences. The most frequently observed epileptic syndromes were in decreasing order: multifocal epilepsies, epilepsies with absences, Lennox-Gastaut syndrome and West syndrome. The association of two or more different seizure types in the same patient seems to be a negative prognostic factor.
Vassella
F
F
Abteilung für Kinderneurologie, Universitätskinderklinik Bern.
Donati
F
F
Penzien
J M
JM
D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004569:Electroencephalography; D004827:Epilepsy / Q000145:classification / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D007223:Infant; D011379:Prognosis; D012640:Seizures / Q000175:diagnosis*
Variabilität der epileptischen Anfallsphänomenologie bei Säuglingen und Kindern.