[Comparative analysis of prognostic value of epileptic encephalopathies and symptomatic epilepsy in children with cerebral palsy].
Cerebral dysfunction due to epilepsy is not currently well-understood and needs to be further investigated. We have observed patients with static encephalopathy (cerebral palsy) of nearly equal severity with epileptic encephalopathy and symptomatic epilepsy and have had carried out comparative analysis of prognosis among these groups. The work is based on the results of investigation of 121 patients admitted to the Center of child neurology and neurorehabilitation during the period 2000-2005. 69 patients with epileptic encephalopathies were included into the study groups according to following criteria: I group -- cases with early starting seizures (before 1 year of life) and II group -- starting seizures after 1 year of life. The control group involved 52 patients with associated cerebral palsy of different severity and symptomatic epilepsy. The study and control groups were compared prognostically. According to our data, prognosis and outcome of epilepsy was closely associated with the time of onset of epilepsy syndromes: early started (within the first year) epileptic encephalopathies display the highest correlation with poor prognosis; the risk of development of epileptic encephalopathies is the highest in patient with cerebral palsy and early starting of seizures.
Kakushadze
Z N
ZN
Bokeriia
I R
IR
Natroshvili
I G
IG
Kandareli
L G
LG
Davituliani
Kh R
KhR
D001921:Brain / Q000503:physiopathology; D002547:Cerebral Palsy / Q000150:complications* / Q000503:physiopathology*; D002675:Child, Preschool; D004827:Epilepsy / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D011379:Prognosis; D012720:Severity of Illness Index; D013036:Spasms, Infantile / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology*