Clinical Aspects of Epilepsy in Children with Cerebral Palsy:a Review
- VernacularTitle:脑性瘫痪合并癫痫的临床特征
- Author:
Mei HOU
;
Xiaofeng CHEN
;
Rong YU
- Publication Type:Journal Article
- Keywords:
cerebral palsy, epilepsy, clinical nature, prognosis
- From:
Chinese Journal of Rehabilitation Theory and Practice
2007;13(1):45-47
- CountryChina
- Language:Chinese
-
Abstract:
The occurrence of epilepstic seizures in patients with cerebral palsy (CP) remains a serious event and is very disruptive for children who already suffered from orther disabilties. Data from population-based studies or neurodevelopmental clinic studies showed that 8%～62% of patients with CP suffer from epilepsy. The incidence is highest in spastic tetraplegia and hemiplegia. Half of the patients were onset within the first year of age. Children with tetraplegia CP tended to have an earlier onset of epilepsy than chlidren with other CP types. Partial seizures were the most common seizure types, followed by infantile spasms and Lennox-Gastaut syndrome. Low birth weight, neonatal seizures, family history of epilepsy, lower intelligence and grey matter damage were found to be related to significantly increased risk of epilepsy. Epilepsy in children wih CP usually had poor outcome, half of them were intractable and needed polytherapy. Only 37%～65.2% of patients became seizure-free.
