| Clinical and Electoencephalographic Studies in Children with Epilepsy |
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Sang Hyeup Kim |
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Department of Pediatrics, College of Medicine, Seoul National University |
| 小兒 慢性反復性 痙擊의 臨床的 腦波學的 所見 |
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金相協 |
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서울大學校 醫科大學 小兒科學敎室 |
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| Abstract |
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I have presented data on 182 patients with epilepsy who were examined between the year 1966
and September 1974 and in who an electroencephalographic study has been carried out. 182
patients have been examined at the Seoul National University hospital. The fits were not assoc-
iated with any other known organic disease.
The following conclusions can be drawn by comparing the etiology, the clinical picture and
the electroencephalographic findings in the present material: 142 (77. 6%) had grand mal, 14
(7.7%) petit mal and 27(14. 7%) psychomotor seizures. Among petit mal seizures, 4(2.2%) had
pure petit mal, 7 (3. 8%) infantile spasm and 3(1.6%) akinetic seizures.
The age of first physical examination were not characteristic in grand mal but specific age
distribution were noted in petit mal and psycomotor seizures.
The age of onset of fits were characteristic in petit mal. Pure petit mal, infantile spasm and
akinetic seizure began from one to nine years of ag쯧，under three years of age and from one to
five years of age, respectively. Psychomotor seizure began from one to nine years of age.
There was an excess of boys. Male to femlea ratio was 1.5 to 1. Only a minority of the children had had perinatal abnormaltiy. Postnatal brain damage were slightly more frequent than
perinatal abnormality. Among postnatal abnormality trauma and inflammation were most frequent.
The attacks occured most often irregularly in day and night. Attacks during sleep were more
frequent than those o£ awakening period.
Hyperkinetic behavior were most frequent in behavior and emotional disturbances.
In EEG, slow wave, wave burst were most frequent and single spike, multiple spike, irregular
spikes and waves were in order in frequency.
Three cycles per second spike and wave in pure petit mal and hypsarrhythmia in infantile
spasm were revealed in all cases. These findings correlated with clinical findings well.
Normal electroencephalography revealed in 13.3% of total cases. Good seizure control can be
achieved in 55.9% of patients.
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