[Typical absence epilepsy in a patient with serious cranio-encephalic trauma].
BACKGROUND
Head injury is the commonest cause of symptomatic or secondary epilepsy and one of its most serious sequelas. Typical absence seizures are well defined clinically and electroencephalographically and are seen in age-related idiopathic epilepsies. There are very few descriptions of seizures of typical absences that were symptomatic of tumors or other structural lesions.


METHODS
We describe the case of a nine year old boy who had had a severe head injury at the age of four years. When he was seven years old he started to have seizures with all the clinical and electroencephalographic features of typical absences.


CONCLUSIONS
In this case, taking the age of the patient into account, the APF, APP, electroclinical characteristics of the seizures, neurological and clinical condition, the problem was to decide whether the seizures were idiopathic or symptomatic of a cerebral lesion. This was important for treatment and prognosis. The answer could only be obtained by follow-up and assessment of the response to specific treatment for petit mal.
Fernández-Domínguez
A
A
Clínica de Neurología Infantil, Centro Internacional de Restauración Neurológica (CIREN), La Habana, Cuba. alexis@neuro.sld.cu
Morales-Chacón
L
L
García-Cruz
A
A
Cubero
L
L
Galvizu-Sánchez
R
R
Hernández-Lara
J
J
D001930:Brain Injuries / Q000150:complications*; D002648:Child; D004569:Electroencephalography; D004832:Epilepsy, Absence / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D008297:Male; D012720:Severity of Illness Index; D012895:Sleep, REM / Q000502:physiology; D014635:Valproic Acid / Q000627:therapeutic use; D014851:Wakefulness / Q000502:physiology
D014635:Valproic Acid