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KMID : 0371619910070010181
Journal of Wonkwang Medical Science
1991 Volume.7 No. 1 p.181 ~ p.192
Clinical Study of Epilepsy in Children

Abstract
From January 1987 to July 1991, 70 cases of epileptic children were clinically investigated and obtained following results.
1) The rate of sex incidence was higher in male than female and the ratio was 1.5 : 1.
2) Of the 70 patients, 67.1 % exhibited generalized seizures, 28.7 % partial seizures, and 42 % unclassified seizures.
3) The most common age at onset of seizures ranged from 4 to 10 years (51.4 % )
4) The putative causes of epilepsy were head trauma, birth trauma, meningitis and encephalitis, neonatal hypoxia, and tuberous sclerosis, in order of frequency.
5) The incidence of febrile seizure was 20.0 %, the family history of convulsion 11.4 % and both 10 %.
6) The electroencephalogram showed abnormal findings in 61 of 70 patients (87.1 % ). The most common abnormal EEG findings was wave burst or slow wave pattern (45.7 %).
7) The computed tomography scan (CT) was performed in 53 cases of 70 epileptic patients. Abnormal CT scans were found in 12 patients (22.6 %) and the most common abnormal finding . Was brain atrophy. Abnormal CT scans are more common in patients who have partial seizures than generalized seizure (30 % as compared with 18.7 % ), but this difference was not significant (F<0.1).
8) Patients were followed for periods ranging from 2 months to 4.5 years after initiation of anticonvulsants. The effective control rate of epileptic patients was 67.3 %. The 80 percents of patients was taking one anticonvulsants and the monotherapy was more effective than polytherapy of anticonvulsants (71.8 % versus 53.8 %).
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