论文部分内容阅读
颞叶癫痫儿童远期预后如何?什么因素影响这种预后?这些问题最近从牛津Park医院全国儿童癫痫病中心的论文中有了答案。100名儿童没有一例儿童失去随访。存活患者在初诊后13年再次进行了仔细复查。这些儿童都由临床确诊为颞叶癫痫,在脑电图上有一侧或两侧颞叶棘波,后来部分患儿经颞叶切除治疗在神经病理上诊断得到证实。一些所谓儿童良性局灶性癫痫者可能包括在内,但不包括惊厥性晕厥或反射性缺血氧发作。这个富有代表性的真性颞叶癫痫儿童组已随访到成人期,并已看到了某些明确影响预后的因素,从而指导最适宜的处理。这100例患儿中5例于15岁前死亡;剩下的小儿约1/3到成人时未再发生惊
What are the long-term prognoses of patients with temporal lobe epilepsy and what factors influence this prognosis? These questions have recently been answered in a paper from the National Pediatric Epilepsy Center at Oxford Park Hospital. None of the 100 children lost their follow-up. The surviving patient was carefully reviewed again 13 years after first visit. These children are clinically diagnosed as temporal lobe epilepsy, in the EEG one or both temporal lobe spikes, and later some children by temporal lobe resection in the diagnosis of neuropathology confirmed. Some so-called childhood benign focal epilepsy may be included but not include convulsive syncope or reactive ischemic attack. This representative group of children with true temporal lobe epilepsy has been followed up to adulthood and has seen certain factors that clearly affect the prognosis to guide the most appropriate treatment. Five of the 100 patients died before the age of 15; about one-third of the remaining children did not reoccur when they were adults