Clinical analysis of 33 childhood epilepsy with occipital paroxysms / 中国医师杂志

Objective@#To investigate the clinical features of childhood epilepsy with occipital paroxysms.@*Methods@#The clinical data of 33 children admitted to our hospital from 2015 to 2019 were retrospectively analyzed.@*Results@#The children were divided into three groups: idiopathic group (n=20), structural group (n=10) and genetic group (n=3). Among the structural etiology group, there were 1 case of megagyrus malformation, 1 case of focal cortical dysplasia type Ⅱ (FCDⅡ), 1 case of gestational age infant with enlarged ventricle, and 7 cases of perinatal ischemic-hypoxic encephalopathy (HIE). In the genetic group, there were 1 case of PCDH19 gene mutation, 1 case of cyclin-dependent kinase like 5 (CDKL5) deficiency disorder and 1 case of Wolf-Hirschhorn syndrome. All three groups had ocular motor symptoms and secondary motor symptoms. Compared with the structural group, patients of the idiopathic group had more autonomic symptoms, less visual symptoms, longer ictal duration, less episodes, less abnormal background rhythm, and more epileptic discharges in the frontal lobe or Rolandic area. The genetic group had frequent seizures and the CDKL5 deficiency disorder patient had slowed background and spasms. Compared with the other two groups, patients of the idiopathic group had fewer MRI abnormalities, better seizure control effect, and better prognosis.@*Conclusions@#There are many causes of childhood epilepsy with occipital paroxysms. The idiopathic group accounts for a large proportion. The visual symptoms and autonomic symptoms are different between groups. Background abnormalities are detected more often in the structural group and the genetic group, which is also helpful for differential diagnosis. The treatment options and prognosis of different groups vary greatly. The overall therapeutic effect and prognosis of the idiopathic group are better than those of the structural group and the genetic group.

Clinical analysis of 33 childhood epilepsy with occipital paroxysms / 中国医师杂志

Objective To investigate the clinical features of childhood epilepsy with occipital paroxysms.Methods The clinical data of 33 children admitted to our hospital from 2015 to 2019 were retrospectively analyzed.Results The children were divided into three groups:idiopathic group (n =20),structural group (n =10) and genetic group (n =3).Among the structural etiology group,there were 1 case of megagyrus malformation,1 case of focal cortical dysplasia type Ⅱ (FCD Ⅱ),1 case of gestational age infant with enlarged ventricle,and 7 cases of perinatal ischemic-hypoxic encephalopathy (HIE).In the genetic group,there were 1 case of PCDH19 gene mutation,1 case of cyclin-dependent kinase like 5 (CDKL5) deficiency disorder and 1 case of Wolf-Hirschhorn syndrome.All three groups had ocular motor symptoms and secondary motor symptoms.Compared with the structural group,patients of the idiopathic group had more autonomic symptoms,less visual symptoms,longer ictal duration,less episodes,less abnormal background rhythm,and more epileptic discharges in the frontallobe or Rolandic area.The genetic group had frequent seizures and the CDKL5 deficiency disorder patient had slowed background and spasms.Compared with the other two groups,patients of the idiopathic group had fewer MRI abnormalities,better seizure control effect,and better prognosis.Conclusions There are many causes of childhood epilepsy with occipital paroxysms.The idiopathic group accounts for a large proportion.The visual symptoms and autonomic symptoms are different between groups.Background abnormalities are detected more often in the structural group and the genetic group,which is also helpful for differential diagnosis.The treatment options and prognosis of different groups vary greatly.The overall therapeutic effect and prognosis of the idiopathic group are better than those of the structural group and the genetic group.

Video electroencephalogram analysis of 100 cases of intellectual disability children with unexplained pathogenic factor / 中国医师杂志

Objective To observe 100 video-electroencephalogram (EEG)-cases of intellectual disability (ID) children,to analyze their EEG features of different degrees of ID,to explore the relationship between EEG changes and ID.Methods We performed a retrospective analysis of long-range video-EEGs of 100 children with an unexplained reason of ID from July 2016 to May 2018 in the department of pediatrics of Xiangya Hospital of Central South University,sumnarized their EEG manifestations,and compared their differences among different degrees of ID.We carried out x2 test according to the degree of ID,and discussed the relationship between the degree of ID and EEG.Results Among 100 cases of ID children with unexplained pathogenic factor,67 cases (67％) of them were males,33 cases (33 ％) of females,38 cases (38％)of mild ID,27 cases (27％) of moderate ID and 35 cases (35％) of severe ID.The EEG background of ID patients showed fast waves (11％),slow waves (15％),generalized discharges (14％) and focal discharges (36％),etc.Focal sharp and spike-wave were the most common in children with moderate ID,while background changes and multifocal sharp spike wave were more common in severe ID children.Conclusions The EEG background changes in children with severe ID have significant differences than mild and moderate degree ones.The specific features of EEG in mild and moderate degree ones is focal discharges,while multiple discharges in severe ID patients.Changes in the EEG may be related to the extent of intellectual disability.

The reseach advancement of manufacture and identfication of animal models of cerebral palsy / 国际儿科学杂志

Cerebral palsy(CP)is one of the main diseases which induce the invalids of children nervous system.The pathogenesis of CP iS fairly complex,which correlates with many factors.At present,there is no one kind of animal odel of CP that can be received by the public.To solve this problem,this review summarizes the most up-to-date three models which relate to the pathogenesis,ischemia and hypoxia model,infection model and hyperbilirubin model,and compares their different validities,eventually brings forward the common effective criterions to identiticare different models.Among these three models,the ischemia and hypoxia model is the most popular application and research objection,the two others are sprouting on their way waiting further develpoment.