Evolution of genetically determined generalized epilepsies

This article analyzes the available literature regarding the clinical manifestations, genetic determinants, prognosis and evolution of inherited generalized epilepsies. We describe the typical EEG characteristics and their correlations with negative prognostic factors. We also review studies on abse...

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Main Authors: E. A. Morozova, F. I. Gusyakov
Format: Article
Language:Russian
Published: IRBIS LLC 2019-07-01
Series:Эпилепсия и пароксизмальные состояния
Subjects:
Online Access:https://www.epilepsia.su/jour/article/view/478
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author E. A. Morozova
F. I. Gusyakov
author_facet E. A. Morozova
F. I. Gusyakov
author_sort E. A. Morozova
collection DOAJ
description This article analyzes the available literature regarding the clinical manifestations, genetic determinants, prognosis and evolution of inherited generalized epilepsies. We describe the typical EEG characteristics and their correlations with negative prognostic factors. We also review studies on absence epilepsy of childhood, juvenile myoclonic epilepsy and epilepsy with generalized tonic-clonic seizures. Factors indicating a more severe course and outcome of the disease, and those indicating a more favorable development have been analyzed. Among those, age of the seizure onset, type of initial therapy, time passed before starting therapy and time before a response was seen, cognitive status, combination of seizures, abnormal discharges in EEG, and neurological deficit. The analysis shows that factors correlating with poor prognosis include the presence of more than one type of seizures, insufficient response to initial therapy, necessity of polytherapy and concomitant cognitive impairment.
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spelling doaj.art-c21ec964241449b0ae389cf993bcb5212023-03-13T07:44:17ZrusIRBIS LLCЭпилепсия и пароксизмальные состояния2077-83332311-40882019-07-0111218719410.17749/2077-8333.2019.11.2.187-194447Evolution of genetically determined generalized epilepsiesE. A. Morozova0F. I. Gusyakov1Kazan State Medical Academy - branch of the Federal state budgetary educational institution of additional professional education “Russian medical Academy of continuous professional education” of the Ministry of health of the Russian FederationChildren’s City Hospital № 8This article analyzes the available literature regarding the clinical manifestations, genetic determinants, prognosis and evolution of inherited generalized epilepsies. We describe the typical EEG characteristics and their correlations with negative prognostic factors. We also review studies on absence epilepsy of childhood, juvenile myoclonic epilepsy and epilepsy with generalized tonic-clonic seizures. Factors indicating a more severe course and outcome of the disease, and those indicating a more favorable development have been analyzed. Among those, age of the seizure onset, type of initial therapy, time passed before starting therapy and time before a response was seen, cognitive status, combination of seizures, abnormal discharges in EEG, and neurological deficit. The analysis shows that factors correlating with poor prognosis include the presence of more than one type of seizures, insufficient response to initial therapy, necessity of polytherapy and concomitant cognitive impairment.https://www.epilepsia.su/jour/article/view/478generalized epilepsyoutcomesevolutionchildhood absence epilepsycaejuvenile myoclonic epilepsyjmeepilepsy with generalized tonic-clonic seizures alone
spellingShingle E. A. Morozova
F. I. Gusyakov
Evolution of genetically determined generalized epilepsies
Эпилепсия и пароксизмальные состояния
generalized epilepsy
outcomes
evolution
childhood absence epilepsy
cae
juvenile myoclonic epilepsy
jme
epilepsy with generalized tonic-clonic seizures alone
title Evolution of genetically determined generalized epilepsies
title_full Evolution of genetically determined generalized epilepsies
title_fullStr Evolution of genetically determined generalized epilepsies
title_full_unstemmed Evolution of genetically determined generalized epilepsies
title_short Evolution of genetically determined generalized epilepsies
title_sort evolution of genetically determined generalized epilepsies
topic generalized epilepsy
outcomes
evolution
childhood absence epilepsy
cae
juvenile myoclonic epilepsy
jme
epilepsy with generalized tonic-clonic seizures alone
url https://www.epilepsia.su/jour/article/view/478
work_keys_str_mv AT eamorozova evolutionofgeneticallydeterminedgeneralizedepilepsies
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