Prognosis in severe motor and intellectual disabilities syndrome complicated by epilepsy.
We investigated the prognosis of epilepsy in 54 patients with severe motor and intellectual disabilities syndrome (SMIDS). The prevalence of epilepsy was 75.7% in our institution for SMIDS. We assessed activities of daily living (ADL) of them at the onset of epilepsy and at present, according to the scores in locomotion, language, toileting, dressing and feeding. Among them, patients with uncontrolled epilepsy constituted 40.3%. ADL scores worsened in the uncontrolled group, while they improved in other cases. Early seizure control is very important in SMIDS for improving patients' quality of life.
Kurihara
M
M
Department of Pediatrics, The Kanagawa Rehabilitation Center, Japan.
Kumagai
K
K
Noda
Y
Y
Watanabe
M
M
Imai
M
M
D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D000368:Aged; D002658:Developmental Disabilities / Q000150:complications* / Q000523:psychology / Q000534:rehabilitation*; D004827:Epilepsy / Q000150:complications* / Q000523:psychology / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D009046:Motor Neurons / Q000502:physiology; D011379:Prognosis; D011788:Quality of Life