First unprovoked seizure: clinical and electrographic aspects
Autor(a) principal: | |
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Data de Publicação: | 2006 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Journal of epilepsy and clinical neurophysiology (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-26492006000300004 |
Resumo: | OBJECTIVE: To evaluate classification, EEG tracings and neuroimage following the first episode of unprovoked epileptic seizure in a pediatric population. METHODS: Patients diagnosed with first episode of unprovoked epileptic seizure from May 2000 to May 2005 were included. All subjects were submitted to EEG and cranial CT in the first 72 hours after the event. Seizures were classified according to the ILAE classification criteria of 1981. RESULTS: 387 patients, 214 (55.3%) male, average age 4.2 years. Neuropsicomotor development was normal in 315 (81.4%) patients. Seizure classification: 167 (43.15%) generalized, tonic-clonic being the most frequent of these (105/62.85%), followed by typical absence (22/13.17%), clonic (20/11.98%), tonic (13/7.78%) and atonic (7/4.19%). Focal seizures: 220 (56.85%), complex partial with secondary generalization as the most common of these (81/36.82%). EEG was normal in 208 (53.75%) cases. Brain atrophy was the most frequent abnormality on cranial CT. DISCUSSION: The majority of the children had normal neurodevelopment after a first unprovoked epileptic seizure. Partial seizures were more frequent than generalized seizures. Early EEG identifies interictal paroxysms or focal slowing in virtually half the patients. |
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Journal of epilepsy and clinical neurophysiology (Online) |
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First unprovoked seizure: clinical and electrographic aspectsfirst seizureelectroencephalogramtomographyOBJECTIVE: To evaluate classification, EEG tracings and neuroimage following the first episode of unprovoked epileptic seizure in a pediatric population. METHODS: Patients diagnosed with first episode of unprovoked epileptic seizure from May 2000 to May 2005 were included. All subjects were submitted to EEG and cranial CT in the first 72 hours after the event. Seizures were classified according to the ILAE classification criteria of 1981. RESULTS: 387 patients, 214 (55.3%) male, average age 4.2 years. Neuropsicomotor development was normal in 315 (81.4%) patients. Seizure classification: 167 (43.15%) generalized, tonic-clonic being the most frequent of these (105/62.85%), followed by typical absence (22/13.17%), clonic (20/11.98%), tonic (13/7.78%) and atonic (7/4.19%). Focal seizures: 220 (56.85%), complex partial with secondary generalization as the most common of these (81/36.82%). EEG was normal in 208 (53.75%) cases. Brain atrophy was the most frequent abnormality on cranial CT. DISCUSSION: The majority of the children had normal neurodevelopment after a first unprovoked epileptic seizure. Partial seizures were more frequent than generalized seizures. Early EEG identifies interictal paroxysms or focal slowing in virtually half the patients.Liga Brasileira de Epilepsia (LBE)2006-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-26492006000300004Journal of Epilepsy and Clinical Neurophysiology v.12 n.2 2006reponame:Journal of epilepsy and clinical neurophysiology (Online)instname:Liga Brasileira de Epilepsia (LBE)instacron:LBE10.1590/S1676-26492006000300004info:eu-repo/semantics/openAccessVieira,Simone CarreiroLiberalesso,Paulo Breno NoronhaSpinosa,Mônica JaquesOrtega,Adriana BanzzattoOlmos,Alaídes Suzana FojoLöhr Júnior,Alfredoeng2007-05-21T00:00:00Zoai:scielo:S1676-26492006000300004Revistahttp://epilepsia.org.br/publicacoes/ONGhttps://old.scielo.br/oai/scielo-oai.php||jecnpoa@terra.com.br1980-53651676-2649opendoar:2007-05-21T00:00Journal of epilepsy and clinical neurophysiology (Online) - Liga Brasileira de Epilepsia (LBE)false |
dc.title.none.fl_str_mv |
First unprovoked seizure: clinical and electrographic aspects |
title |
First unprovoked seizure: clinical and electrographic aspects |
spellingShingle |
First unprovoked seizure: clinical and electrographic aspects Vieira,Simone Carreiro first seizure electroencephalogram tomography |
title_short |
First unprovoked seizure: clinical and electrographic aspects |
title_full |
First unprovoked seizure: clinical and electrographic aspects |
title_fullStr |
First unprovoked seizure: clinical and electrographic aspects |
title_full_unstemmed |
First unprovoked seizure: clinical and electrographic aspects |
title_sort |
First unprovoked seizure: clinical and electrographic aspects |
author |
Vieira,Simone Carreiro |
author_facet |
Vieira,Simone Carreiro Liberalesso,Paulo Breno Noronha Spinosa,Mônica Jaques Ortega,Adriana Banzzatto Olmos,Alaídes Suzana Fojo Löhr Júnior,Alfredo |
author_role |
author |
author2 |
Liberalesso,Paulo Breno Noronha Spinosa,Mônica Jaques Ortega,Adriana Banzzatto Olmos,Alaídes Suzana Fojo Löhr Júnior,Alfredo |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Vieira,Simone Carreiro Liberalesso,Paulo Breno Noronha Spinosa,Mônica Jaques Ortega,Adriana Banzzatto Olmos,Alaídes Suzana Fojo Löhr Júnior,Alfredo |
dc.subject.por.fl_str_mv |
first seizure electroencephalogram tomography |
topic |
first seizure electroencephalogram tomography |
description |
OBJECTIVE: To evaluate classification, EEG tracings and neuroimage following the first episode of unprovoked epileptic seizure in a pediatric population. METHODS: Patients diagnosed with first episode of unprovoked epileptic seizure from May 2000 to May 2005 were included. All subjects were submitted to EEG and cranial CT in the first 72 hours after the event. Seizures were classified according to the ILAE classification criteria of 1981. RESULTS: 387 patients, 214 (55.3%) male, average age 4.2 years. Neuropsicomotor development was normal in 315 (81.4%) patients. Seizure classification: 167 (43.15%) generalized, tonic-clonic being the most frequent of these (105/62.85%), followed by typical absence (22/13.17%), clonic (20/11.98%), tonic (13/7.78%) and atonic (7/4.19%). Focal seizures: 220 (56.85%), complex partial with secondary generalization as the most common of these (81/36.82%). EEG was normal in 208 (53.75%) cases. Brain atrophy was the most frequent abnormality on cranial CT. DISCUSSION: The majority of the children had normal neurodevelopment after a first unprovoked epileptic seizure. Partial seizures were more frequent than generalized seizures. Early EEG identifies interictal paroxysms or focal slowing in virtually half the patients. |
publishDate |
2006 |
dc.date.none.fl_str_mv |
2006-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-26492006000300004 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-26492006000300004 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S1676-26492006000300004 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Liga Brasileira de Epilepsia (LBE) |
publisher.none.fl_str_mv |
Liga Brasileira de Epilepsia (LBE) |
dc.source.none.fl_str_mv |
Journal of Epilepsy and Clinical Neurophysiology v.12 n.2 2006 reponame:Journal of epilepsy and clinical neurophysiology (Online) instname:Liga Brasileira de Epilepsia (LBE) instacron:LBE |
instname_str |
Liga Brasileira de Epilepsia (LBE) |
instacron_str |
LBE |
institution |
LBE |
reponame_str |
Journal of epilepsy and clinical neurophysiology (Online) |
collection |
Journal of epilepsy and clinical neurophysiology (Online) |
repository.name.fl_str_mv |
Journal of epilepsy and clinical neurophysiology (Online) - Liga Brasileira de Epilepsia (LBE) |
repository.mail.fl_str_mv |
||jecnpoa@terra.com.br |
_version_ |
1754734659089989632 |