síndrome epiléptica grave na infância com descargas paroxísticas focais "de maturação" estudo clínico-eletrencefalográfico longitudinal childhood epilepsy with focal "maturational" paroxysms: longitudinal clinical and electroencephalographical studies
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ID: 244742
1971
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Abstract
De 36 pacientes com características clínicas de síndrome de Lennox, submetidos a seguimentos clínico-terapéuticos e eletrencefalográficos longitudinais foram selecionados dois com pontas negativas em áreas rolândico-temporais e positivas nas projeções anteriores. Tais achados eletrencefalográficos foram descritos em crianças com síndrome epiléptica benigna, de substrato funcional. A gravidade dos quadro clínico, em nossos pacientes, demonstra a dificuldade de estabelecer critérios rígidos de diferenciação entre encefalopatías epiléticas graves e epilepsias funcionais da infância. A freqüência e a duração das crises, o estadio de maturação cerebral e a incidência e freqüência de agressões cerebrais pregressas são fatores importantes no aparecimento de síndromes epilépticas de caráter rebelde.
Two patients with negative spikes in central and temporal regions and positive spikes on the anterior projections were selected out of 36 patients with clinical characteristics associated with the Lennox syndrome. All 36 patients were submitted to clinical therapeutic and electroencephalographic longitudinal follow-ups. The electroencephalographic findings on both patients selected for the present study came from children with beningn functional epileptic syndrome. The clinical characteristics of our patients show how difficult it is to establish rigid criterions for the distinction between severe epileptic encephalopathies and childhood functional epilepsies. Frequency and duration of crises, the stage of cerebral maturation, and the incidence and frequency of previous cerebral lesions all are important factors on the establishement of severe epileptic syndromes.
Two patients with negative spikes in central and temporal regions and positive spikes on the anterior projections were selected out of 36 patients with clinical characteristics associated with the Lennox syndrome. All 36 patients were submitted to clinical therapeutic and electroencephalographic longitudinal follow-ups. The electroencephalographic findings on both patients selected for the present study came from children with beningn functional epileptic syndrome. The clinical characteristics of our patients show how difficult it is to establish rigid criterions for the distinction between severe epileptic encephalopathies and childhood functional epilepsies. Frequency and duration of crises, the stage of cerebral maturation, and the incidence and frequency of previous cerebral lesions all are important factors on the establishement of severe epileptic syndromes.
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lison1971arquivossndrome
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| Authors | ;Michel Pierre Lison;José Geraldo Speciali |
| Journal | communications in computer and information science |
| Year | 1971 |
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