Comparative study of typical and atypical benign epilepsy with centrotemporal spikes (Rolandic epilepsy) / 소아과
Korean Journal of Pediatrics
;
: 1085-1089, 2008.
Article
in English
| WPRIM
| ID: wpr-154509
ABSTRACT
PURPOSE:
This study aims to examine and compare the features of rolandic epilepsy.METHODS:
Of 158 patients selected retrospectively, 116 had typical (group A) and 42 had atypical (group B) rolandic epilepsy, as defined by Worrall's criteria.RESULTS:
The age at onset of the seizures in group Awas 8.6+/-2.0 y and 6.2+/-1.7 y in group B (P>0.05). Among the 40 patients who underwent neuroimaging studies (25 patients in group Aand 15 patients in group B), abnormal findings in group B included ventricular dilatation, mild cortical atrophy, and partial agenesis of corpus callosum. group A had no abnormal findings. The frequency of seizures was 2.0+/-1.0 and 2.3+/-1.2 per month in groups A and B respectively. Seizure control from the initial anticonvulsant treatment was achieved within 3 months in group A, and 3 to 12 months in group B. A 2-year remission rate was noted in 105 patients in group A and in 38 patients in group B. Of these, the recurrence rate after 2 y was 13 in group A and 12 in group B.CONCLUSION:
Age of onset of seizures, gender, frequency of seizures before therapy, and 2-y remission rate were not significantly different in the 2 groups. However, neuroimaging abnormalities, the time to achieving seizure control from the initial anticonvulsant treatment, and the recurrence rate after being seizure-free for 2 y were significantly different in the 2 groups.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Recurrence
/
Atrophy
/
Seizures
/
Retrospective Studies
/
Age of Onset
/
Epilepsy, Rolandic
/
Dilatation
/
Agenesis of Corpus Callosum
/
Neuroimaging
Type of study:
Observational study
Limits:
Humans
Language:
English
Journal:
Korean Journal of Pediatrics
Year:
2008
Type:
Article
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