[Epileptiform activity in nonepileptic children: clinical-electroencephalographic correlations].
Frequency of epileptiform activity in children without epilepsy has been studied in 1920 patients who underwent electroencephalographic examination along with clinical and neuropsychological assessment. The population-based frequency of epileptiform activity was 1,93%. It was found mainly in boys (73%) and was the highest at ages 4-5 and 7-8 years. Regional patterns, especially benign epileptiform discharges of childhood, were found in most cases (86,5%) with predominant involvement of the left hemisphere (56,2%). In most patients, mild to moderate neurological and neuropsychological abnormalities, i.e. chronic headaches, attention deficit hyperactivity disorder, speech delay, enuresis, breath-holding spells, cerebral palsy, tics, were observed. Neither subjective complaints no neurological, cognitive abnormalities were noted in 13,5% of cases. The results obtained suggest that epileptiform activity in non-epileptic children may reflect age-dependent mechanisms of brain dysfunction. Futher studies are needed to elucidate pathogenetic mechanisms of this electroclinical association and to elaborate standards of its correction in this group of children.
Nogovitsyn
V Iu
VIu
Nesterovskiĭ
Iu E
IuE
Osipova
G N
GN
Rusakova
V D
VD
Mykhin
K Iu
KIu
D000293:Adolescent; D001921:Brain / Q000503:physiopathology*; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004569:Electroencephalography; D004827:Epilepsy / Q000175:diagnosis*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D012640:Seizures / Q000175:diagnosis / Q000503:physiopathology*