EPILEPSY IN CHILDREN WITH STROKE
Often, stroke, regardless of their type, are complicated by epileptic seizures, in different periods of the disease – both in the acute period, and in the late period of the disease.Objective – to identify the characteristics of symptomatic epilepsy, occurred against the backdrop of stroke in childr...
| Main Authors: | , |
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| Format: | Article |
| Language: | Russian |
| Published: |
IRBIS LLC
2017-03-01
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| Series: | Эпилепсия и пароксизмальные состояния |
| Subjects: | |
| Online Access: | https://www.epilepsia.su/jour/article/view/315 |
| Summary: | Often, stroke, regardless of their type, are complicated by epileptic seizures, in different periods of the disease – both in the acute period, and in the late period of the disease.Objective – to identify the characteristics of symptomatic epilepsy, occurred against the backdrop of stroke in children.Materials and Methods. The study involved 94 children aged from 3 months to 18 years with the effects of stroke and 21 children with acute stroke. A brain MRI, routine EEG, clinical tests.Results. Among infants prevailed hemorrhagic stroke, in most cases due to the DIC syndrome. Among older children, prevailed children with ischemic stroke, the most common cause of which were congenital and acquired heart defects. In 80.9% of cases were noted early seizures in the acute phase of stroke, more common in children with hemorrhagic stroke. In the acute phase of the disease seizures were mostly secondary generalized to partial component (68; 73.1%). On brain MRI in patients with ischemic stroke lesions localized cortical and subcortical. Late seizures were observed in 48 (41.7%) patients in the MRI of the brain of these patients had cystic atrophic changes in the brain in patients with primary generalized seizures subcortical structures of the brain were involved in the process.Conclusions. Hemorrhagic strokes are more common in children under 1 year of age in subsequent periods prevalent ischemic strokes and nature of seizures depends on the location and massive fireplace. |
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| ISSN: | 2077-8333 2311-4088 |