Paraclinical findings and treatment response of children with refractory epilepsy in Mofid Children's Hospital in 2007-2008
Author(s):
Abstract:
Background and
Purpose
There are many challenges in diagnosis and treatment of patients with refractory epilepsy. The aim of this study was to survey the paraclinical findings in children with refractory epilepsy in Mofid Children''s Hospital and their effect on treatment response. Materials And Methods
This cross-sectional study was undertaken in 2007 to 2008. One hundred and fifty patients with refractory epilepsy in Mofid Children''s Hospital were studied. Demographic، Clinical and paraclinical information of all patients were collected using a questionnaire and the date analyzed with SPSS and chi-square test. Results
The mean age of patients was 83. 5±51. 1 months، 43. 3% were female. Idiopathic epilepsy and symptomatic epilepsy were detected in 32. 7% and 57. 6% of the subjects respectively. There were abnormal biochemical findings (hypoglycemia، hypocalcaemia or abnormal liver function) in 3. 3% of the subjects and abnormal metabolic findings in 8%. EEG findings were normal in 2. 7%، non-specific in 42. 7% and abnormal in 54. 6% of the children. Abnormal brain CT-scan and MRI findings were observed in 39. 3% and 42. 7% respectively. No response and relative response were obtained in 49. 3% and 13. 3% of the subjects respectively and 37. 3% were seizure free. Treatment response in patients with abnormal EEG، brain CT-scan and MRI were significantly poorer than that of the patients with normal EEG (normal or non-specific)، CT-scan and MRI findings. Conclusion
It seems that brain abnormality (abnormal findings in imaging) and cortical dysfunction in EEG were the factors that resulted in treatment response in patients with refractory epilepsy.Language:
Persian
Published:
Journal of Mazandaran University of Medical Sciences, Volume:20 Issue: 75, 2010
Page:
24
magiran.com/p771847
دانلود و مطالعه متن این مقاله با یکی از روشهای زیر امکان پذیر است:
اشتراک شخصی
با عضویت و پرداخت آنلاین حق اشتراک یکساله به مبلغ 1,390,000ريال میتوانید 70 عنوان مطلب دانلود کنید!
اشتراک سازمانی
به کتابخانه دانشگاه یا محل کار خود پیشنهاد کنید تا اشتراک سازمانی این پایگاه را برای دسترسی نامحدود همه کاربران به متن مطالب تهیه نمایند!
توجه!
- حق عضویت دریافتی صرف حمایت از نشریات عضو و نگهداری، تکمیل و توسعه مگیران میشود.
- پرداخت حق اشتراک و دانلود مقالات اجازه بازنشر آن در سایر رسانههای چاپی و دیجیتال را به کاربر نمیدهد.
In order to view content subscription is required
Personal subscription
Subscribe magiran.com for 70 € euros via PayPal and download 70 articles during a year.
Organization subscription
Please contact us to subscribe your university or library for unlimited access!