Padrões eletrencefalográficos ligados às epilepsias benignas parciais da infância
correlações clínico-eletrencenfalográficas
Palabras clave:
epilepsia focal, eletroencefalografia, criançaResumen
Foi pesquisada a ocorrência de patrões eletroencefalográficos mais comumente observados nas Epilepsias Benignas Parciais da Infância, em 413 pacientes, de 3 a 15 anos de idade, examinados no serviço de eletrencefalógrafa do Hospital e maternidade Celso Pierro da Puccamp. Cento e dezoito crianças apresentaram epilepsia e 44 tinha crise única não jeito. Pontas centrais d ou temporárias médicas, apresentam em 27 casos e foram frequentemente nas crianças com epilepsias (15,2%) do que nas com outras queixas (3,(FX,) . O diagnóstico de Epilepsia Benigna da Infância com Pontas cento-temporais foi jeito em 14 casos (11,8% dos pacientes com epilepsia). três crianças (2,4%) apresentaram Epilepsia da infância com paroxismo Occipitais. Pontas evocadas por estímulos somatossenssoriais foram observadas em quatro casos, saldo a epilepsia relatada em três deles. Nosso estudo mostra que as epilepsias Benignas da Infância são relativamente frequentes. Tal achado reveste-se de grande importância pratica às implicações de ordem terapêutica e prognóstica.
Descargas
Citas
ALCARDI,J. Epileptic syndromes in childhood. Epilepsia, New York, v.29, (suppl.3), p.51-55, 1988.
AMBROSETIO,G. Unilateral opercular macrogyria and benign child hood epilepsy with centrotemporal (Rolandic) spikes: report of case. Epilepsia, New York, v.33, p.499-503, 1992.
BEUSSART, M. Benign epilepsy of children with rolandic (centro temporal) paroxysmal foci. Epilepsia, New York, v.13, p.775- 781, 1972.
BINNIE, C.D., MARSTON, D. Cognitive correlantes of interictal dis charges. Epilepsia, New York, v.33, (suppl.6), p.511-517, 1992.
BLOM, S., HEIJBEL, J. Benig epillepsy of children with centrotemporal EEG foci: a follow-up study in adulthood of patients initially studied as children. Epilepsia, New York, v.23, p.629- 632, 1982.
BERGFORS, P.G. Benign epilepsy of children with centro-temporal EEG foci: prevalence and follow-up of 40 patients. Epilepsia, New York, v.13, p.609-619, 1972.
COMMISION on Classification and terrninology of the Intemational Leaque against epilepsy: proposal for revised classification of epilepsies and epileptic syndromes. Epilepsia, New York, v.30, n.4, p.389-399, 1989.
COOPER, G. W., LEE, S.L. Reactive occipital epileptiforme activity: is it benign? Epilepsia, New York, v.32, n.1, p.63-69, 1991.
DALLA BERNARDINA, P., CHJIAMENTI, C., CAPOVILLA, G., COLAMARIA, V. Benign partia! epilepsies in childhood. ln: Epileptic syndromes in infancy, childhood and adolescence. London: Eurotext, 1985. p.137-149.
SGRÔ, V., FONTANA, E., CARABALLO, R., BLANCO, M., ZULLINI, E.,SIMEONI, M., COLAMARIA, V. Partia!
epilepsies in children with rolandic somatosensory evoked spikes (Hand tapping): neurophysiological (EEG and SEP) study. Electroencepbalograpby and Clinicai Neuropbysiology, Linlerick, v.75, p.532, 1990 (abstr.).
DEMARCO, P., TASSINARI, C.A. Extreme somatosensory evokes potencial (ESEP): an EEG sign forecasting the possible occurrence of seizures in children. Epilepsia, New York, v.22, p.569-575, 1981.
Parietal epilepsy with evoked and spontaneuos spikes: report on sinblings withh possible genetic transmission. Clinicai Electroencepbalograpby, Wilmette, Illinnois, v.17, p.159-161, 1986.
FONSECA, L.C. ODASHINA, N.S., TEDRUS, G.M. Epileptic syndromes in partial epilepsy in neurologically normal children. Electroencepbalograpby and Clinicai Neuro pbysiology, Limerick, v.75, p.546, 1990. (abstr.)
TEDRUS, G.M.A., ODashima, N.S. Epileptic syndromes in children with somatosensory evoked spikes. Epilepsia, New York, v.32, (suppl. 1.), p.88, 1991. (abstr).
GASTAUT, H. A new type of epilepsy: benign partia! epilepsy of childhood with occipital spike-waves. ClinicalElectroencepba lograpby, Wilmette, Illinnois, v.13, p.13-22, 1982.
GREGORY, D.L., WONG, P.K.H. clinicai relevance of a dipole field in rolandic spikes. Epilepsia, New York, v.33, n.1, p.36-44, 1992.
Topographical analysis of the centro- temporal discharges in benign rolandic of childhood. Epilepsia, New York, v.25, p.705-711, 1984.
HEI]BEL,J., BLOM,S., BERGFORS, P.G. Benign epilepsy of children with centro temporal EEG foci: a study of incidence rate in outpatient care. Epilepsia, New York, v.16, p.657-664, 1975.
LERMAN, P., KIVITY-EPHRAIN, S. Carbamazepine sole anticonvulsivant for focal epilepsy of childhood. Epilepsia, New York, v.15, p.229-234, 1974.
LOISEAU, P., DUCHE, B., LOISEAU, J. Classification of epilepsies and epileptic syndromes in two different samples of patients. Epilepsia, New York, v.32, n.3, p.303-309, 1991.
LOMBROSO, C.T. Sylvian seizures and rnid-temporal spikes foci in children. ArcbivesoJNeurology, Chicago, Illinnois, v.17, p.52- 59, 1967.
NEWTON, R.,AICARDI, J. Clinicai findings in children with occipital spikes-wave complexes suppressed by eye-opening. Neurology, Cleveland, Ohio, v.33, p.1526-1529, 1983.
PANAYIOTOPOULOS, C.P. Basilar rnigraine? seizures and severe epileptic EEG abnormalities. Neurology, Cleveland,Ohio, v.30, p.1122-1125, 1980.
VIANI, F., BEGHI, E.M., ATZA, G., GULOTTA, M.P. Classifications of epileptic syndormes: advantages and limitations for evalution of chidlhood. Epilepsia, New York, v.29, p.440-445, 1988.
SANTANELLI, P., BUREAU, M., MAGAUDDA, A., GOBBI, G., ROGER, J. Benign partia! epilepsy with centrotemporal (or Rolandic) spikes and brain lesion. Epilepsia, New York, v.30, p.182-188, 1989.
