ABSTRACT
In the modern literature the fits of absence type are divided into two groups: absence only and absence with generalized tonic-clonic convulsions, without considering whether absence episodes preceded the tonic-clonic seizures, or whether in early childhood tonic-clonic seizures appeared as first and absence attacks supervened later. In the light of an analysis of own material the authors believe this it is necessary to isolate a group of children in whom the absence attacks were preceded in early childhood by generalized tonic-clonic seizures, sometimes regarded as febrile seizures. In these children absence attacks appeared additionally usually at the age of 5-7 years, were mostly atypical. With prolonged duration and with evident motor component, simple myoclonias or automatism. These attacks are difficult to control. It may be possible that this is a separate form of childhood epilepsy, both from the standpoint of nosology and genetics. The course of this form is different and the prognosis is worse.
Subject(s)
Epilepsy, Absence/classification , Adolescent , Age Factors , Child , Child, Preschool , Diagnosis, Differential , Epilepsies, Myoclonic/classification , Epilepsies, Myoclonic/diagnosis , Epilepsy, Absence/diagnosis , Female , Humans , Infant , Male , Time FactorsABSTRACT
The authors discuss diagnostic difficulties in 3 cases of inflammatory-obliterative processes in the posterior cranial fossa in children. Clinical and other investigations suggested presence of expansive lesions. The diagnosis was established only during the operation.
Subject(s)
Arachnoiditis/diagnosis , Brain Diseases/diagnosis , Cysts/diagnosis , Adolescent , Cerebellar Neoplasms/diagnosis , Child , Cranial Fossa, Posterior , Diagnosis, Differential , Diagnostic Errors , Female , Humans , Subarachnoid Space , Tissue AdhesionsSubject(s)
Anticonvulsants/therapeutic use , Epilepsy/drug therapy , Biological Availability , Carbamazepine/metabolism , Carbamazepine/therapeutic use , Diazepam/metabolism , Diazepam/therapeutic use , Drug Evaluation , Half-Life , Humans , Phenobarbital/metabolism , Phenobarbital/therapeutic use , Phenytoin/metabolism , Phenytoin/therapeutic useABSTRACT
The authors report 18 cases of benign childhood epilepsy with spike activity in the Rolandic area. These cases were isolated from a group of 103 children with partial epilepsy. In agreement with the observations of other authors the benign course of this form of epilepsy is stressed. The isolation of this type of epilepsy is necessary in view of its practical management, treatment and prognosis. Neuroradiological and neurological examinations failed to demonstrate any evidence of organic brain disease in this epilepsy. Focal EEG changes with spike activity in the frontal or temporal area regressed gradually until complete normalization of the record. The authors agree with the view of other authors that the diagnosis of this epilepsy in typical from does not require radioneurological contrast investigations.
Subject(s)
Electroencephalography , Epilepsy/diagnosis , Motor Cortex , Adolescent , Age Factors , Child , Child, Preschool , Female , Humans , Male , Sleep, REMSubject(s)
Battered Child Syndrome , Child Abuse , Brain Damage, Chronic/etiology , Child, Preschool , Humans , MaleABSTRACT
In the light of pertinent literature the authors discuss two interesting cases of developmental anomalies of cerebral vessels demonstrated by means of angiography which were the cause of epileptic seizures and progressive dementia.
