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KMID : 0378019890320110025
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New Medical Journal
1989 Volume.32 No. 11 p.25 ~ p.35
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A Clinical Study of Seizure Disorder in Children under 15 Years of Age
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Abstract
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The purpose of this study was to reveal the clinical pictures of infancy and childhood onset seizure disorder. Three hundreds seventy-six patients, diagnosed at the neuropsychiatric department of Haewha Hospital, Korea University Medical Center from January, 1984 to January 1988 were clinically studied.
Ratio of male to female was 1.7:1. As to the age distribution, 42.55% of the patients were at the age between 10 and 15, 22.35% 5 and 9, 24.20% 2 and 4, and 10.90% 0 and 1.
In the seizure types, the percentage of generalized type was 71.01%, partial one 22.80%, and unclassified one 6.11%.
As to the age of onset, 30.85% of patients had their first attack at the age between 10 and 15, 26.04% 2 and 4, 22.34% 0 and 1, and 20.74% 5 and 9. As a consequence, about 5 - 0% of patients had their first attack before the age of 4.
In the precipitating factors, the most frequent one was fever(23.40%), and the second most frequent one was sleep(7.18%). And there was statistical difference in the precipitating factors among the different age groups(P<0.01).
In the causes of seizure, infection was rated 28.57%, head trauma 15.87%, difficult delivery 7.94%, and malformation 5.56%. There was statistical difference in the causes )f seizure among the different age groups (P<0.01).
On EEG, abnormal findings were recorded in 57.78% of patients, and also statistical differences among the different age group (P<0.01).
On CT brain scan that was taken in 90 patients, abnormal findings were noticed in 27.
78% of patients. The percentage of abnormal CT findings was 53.85% in parties type, 42. 21% in generalized one, and 3.85% in undifferentiated one.
Abnormal EEG findings was recorded in 72.31% of patients of normal CT ),rain scan
findings and 64.00% in abnormal one, and there was no statistical significance between EEG and CT findings.
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KEYWORD
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