Epidemiology of Different Types of Epilepsy in School Age Children of Modena, Italy

Cavazzuti, G. B.

doi:10.1111/j.1528-1157.1980.tb04044.x

Cited by 210 publications

(117 citation statements)

References 14 publications

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“…There have been a few population-based studies of the relative importance of biologic and clinical risk factors for social outcomes in children with epilepsy (4,lO-12). Understanding both the impact of childhood epilepsy and the risk factors for negative sequelae could provide a rational basis for the allocation of resources to reduce the physical, emotional, and social costs to patients and their families.There have been few studies of the incidence of childhood epilepsy (13)(14)(15)(16)(17)(18)(19)(20), very few of which have been population based (16,20). The available estimates of incidence vary substantially across studies, largely because 225…”

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confidence: 99%

Referral Patterns of Family Physicians May Allow Population‐Based Incidence Studies of Childhood Epilepsy

et al. 1999

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Summary:Purpose: To evaluate the burden of illness of childhood epilepsy on patient, care giver, and society, representative incidence cohorts must be followed longitudinally. Case ascertainment through pediatricians and neurologists would be a valid method if family physicians refered all new cases of childhood epilepsy. The study objective was to determine whether family physicians' referral patterns in Southwestern Ontario make it possible to conduct a population-based incidence study of childhood epilepsy by sampling only from specialists' practices. Conclusions: It is feasible to recruit a representative population-based cohort of recently diagnosed patients for epidemiologic studies of childhood epilepsy by surveying pediatricians and neurologists. These survey results could be used to adjust estimates of incidence obtained through specialists' practices for the bias in case ascertainment that may result from this practical method. Key Words: Childhood seizuresIncidence-Family physicians. MethodsDescriptive studies of children with epilepsy suggest a substantial burden of illness beyond the disability of the seizure disorder. Behavior problems, psychiatric disturbances, low self-esteem (3,5), and poor academic performance (1,4) are most notable. The burden of illness is not confined to the children, but extends to other family members (1,2,6,7).There is general acceptance that childhood epilepsy often interferes with the daily lives of patients and their families and that it creates additional financial strain for families because of loss of work time, cost of medication, and travel expenses, but there are no sound empiric estimates of the true impact on quality of life. Measurement tools have recently been developed and are being Accepted September 8, 1998. Address correspondence and reprint requests to Dr. K. N. Speechley at Child Health Research Institute, 800 Commissioners Road East, London, Ontario N6C 2V5, Canada. tested for their ability to quantify appropriately the burden experienced by patients and their families (8). Although previous studies provide some useful descriptive information about potential risk factors for psychosocial morbidity, many of the results are limited by methodologic weaknesses. For example, it was noted (9) that many of the results are based on small unrepresentative samples. There have been a few population-based studies of the relative importance of biologic and clinical risk factors for social outcomes in children with epilepsy (4,lO-12). Understanding both the impact of childhood epilepsy and the risk factors for negative sequelae could provide a rational basis for the allocation of resources to reduce the physical, emotional, and social costs to patients and their families.There have been few studies of the incidence of childhood epilepsy (13)(14)(15)(16)(17)(18)(19)(20), very few of which have been population based (16,20). The available estimates of incidence vary substantially across studies, largely because 225

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confidence: 99%

Referral Patterns of Family Physicians May Allow Population‐Based Incidence Studies of Childhood Epilepsy

et al. 1999

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“…Therefore it becomes important to arrive at an etiological diagnosis whenever possible to aid specific therapy. Almost 30% of patients with a seizure disorder are children [2] and the seizure type is partial in 23-66% of children [3][4][5]. Routinely used methods including the EEG in most cases cannot localise the lesion.…”

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confidence: 99%

Role of Ct Scan in Partial Seizures in Children

Kanitkar

Purkayastha²,

Deshpande

1994

Medical Journal Armed Forces India

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ABSTRAcr 50 consecutive cases of partial seizures hospitalised over a period of 2 years, were studied. cr Scans were done once at presentation and thereafter cases were followed up with repeat cr scans to evaluate treatment response wherever a treatable cause was found. cr scan diagnosis was correlated with clinical signs and other baseline investigations including an EEG. cr scan abnormality was detected in 66% cases. Single or multiple tuberculomas were noted in 24% cases, cortical atrophy in 14% cases, focal calcification in 10%, haemorrhage in 3% and subdural effusions in 2%. With positive clinical signs, 81% of cr scans were abnormal. 20% of patients with partial seizures having no clinical signs and normal base line investigations including an EEG, had a cr scan abnormality mainly a tuberculoma. MJAFI 1994; 50: 23-26

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“…It accounts for 24% of all epilepsies among children aged five to fourteen 2 , and for 16.5% of such disorders among children under fifteen years of age 3 . The initial age of seizures ranges from three to thirteen years, peaking at seven to eight years 4 . Nocturnal seizures occurring among children with no neurological or cognitive disorders after they fall asleep or upon awakening are quite typical 5,6 .…”

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Benign focal epilepsy of childhood with centrotemporal spikes (BECTS): clinical characteristics of seizures according to age at first seizure

Miziara

Manreza

2002

Arq. Neuro-Psiquiatr.

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-BECTS is characterized by the presence of simple partial motor seizures in the face and/or oropharynx, with or without sensory symptoms and often with secondary generalization. These seizures tend to occur more often during sleep or drowsiness. According to some authors, generalized seizures prevail over other types particularly among children aged five or less. The purpose of this study is to determine the characteristics of the first epileptic episode among children with BECTS, grouped by age as of their first epileptic seizure, as well as to analyze how such seizures change over the course of clinical evolution. A total of 61 children were examined, 16 of whom below the age of 5 and 45 above. With regard to the first and recurrent epileptic episodes, our final assessment showed that partial seizures occurred more frequently than generalized tonicclonic seizures in both groups. Although no conclusive relation could be established between the type of partial seizure (i.e. simple versus complex) and the children's age as of their first epileptic episode, it was possible to correlate the type of epileptic seizure with their clinical evolution, in which case simple partial seizures proved to be more frequent than complex partial seizures. It should be noted that the number of children under the age of five was relatively small, which evinces the need for further studies. It should also be borne in mind that the reported frequency of generalized seizures in these children's first epileptic episode may be due to their parents' lack of attention and familiarity with this pathology and their attendant difficulty in characterizing its clinical symptoms.KEY WORDS: childhood benign focal epilepsy with centrotemporal spikes, orofacial epileptic seizure, nocturnal epileptic seizure, oropharyngeal epileptic seizure, rolandic epilepsy.Epilepsia focal benigna da infância com ponta centrotemporal (EBIPCT): características clínicas de acordo Epilepsia focal benigna da infância com ponta centrotemporal (EBIPCT): características clínicas de acordo Epilepsia focal benigna da infância com ponta centrotemporal (EBIPCT): características clínicas de acordo Epilepsia focal benigna da infância com ponta centrotemporal (EBIPCT): características clínicas de acordo Epilepsia focal benigna da infância com ponta centrotemporal (EBIPCT): características clínicas de acordo com a idade na primeira crise epiléptica com a idade na primeira crise epiléptica com a idade na primeira crise epiléptica com a idade na primeira crise epiléptica com a idade na primeira crise epiléptica RESUMO -EBIPCT é caracterizada pela presença de crises focais motoras simples envolvendo a musculatura da face e da orofaringe, com ou sem sintomas sensitivos e, muitas vezes com generalização secundária. Estas crises epilépticas tendem a ocorrer durante o sono ou a sonolência. Alguns autores referem o predomínio de crises generalizadas, especialmente nas crianças com menos de 5 anos de idade. O objetivo deste estudo é avaliar a característica da primeira crise ep...

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Epidemiology of Different Types of Epilepsy in School Age Children of Modena, Italy

Cited by 210 publications

References 14 publications

Referral Patterns of Family Physicians May Allow Population‐Based Incidence Studies of Childhood Epilepsy

Referral Patterns of Family Physicians May Allow Population‐Based Incidence Studies of Childhood Epilepsy

Role of Ct Scan in Partial Seizures in Children

Benign focal epilepsy of childhood with centrotemporal spikes (BECTS): clinical characteristics of seizures according to age at first seizure

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