Epilepsy in Children in Navarre, Spain: Epileptic Seizure Types and Epileptic Syndromes

Durá-Travé, Teodoro; Yoldi-Petri, María Eugenia; Gallinas-Victoriano, Fidel

doi:10.1177/0883073807304207

“…Considering the type of seizure, we find a greater prevalence of generalized seizures (55.5%) as opposed to partial seizures (32.8%), especially generalized seizures with motor symptoms. Recent research reports find a predominance of partial seizures in this age group [6,8,[26][27][28][29][30][31]. Other authors [9,22,32] however, find a predominance of generalized rather than partial seizures, especially generalized with motor symptoms, as in our study.…”

Section: Discussionsupporting

confidence: 64%

Prevalence of epilepsy amongst adolescents in Huesca, Spain: a community‐based study

Benavente¹,

Rubio²,

Morales³

et al. 2009

Euro J of Neurology

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“…Os estudos prospectivos de incidência ajudam na seleção adequada dos casos e a exclusão de distúrbios não epiléticos 4 . Isso foi observado neste estudo porque, antes da avaliação clínica, 553 (32,8%) tiveram um resultado positivo para epilepsia no QRN-E, e no final somente 11 casos de epilepsia foram confirmados.…”

Section: Discussionunclassified

“…Muitos estudos prévios sobre a prevalência e a incidência de epilepsia já foram publicados, com resultados variando de 0,9 a 57 casos por 1.000 habitantes para a prevalência, e 26 a 190 casos por 100.000 habitantes para a incidência [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] . Muitas dessas variações ocorreram devido a diferenças metodológicas, como definição de epilepsia, critérios diagnósti-cos, ou avaliação prospectiva ou retrospectiva dos dados 27 .…”

Section: Discussionunclassified

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Incidence of epilepsy and seizure disorders in childhood and association with social determinants: a birth cohort study

Nunes

¹

,

Geib²,

Apego³

2011

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Objective: To investigate the incidence and prevalence of epilepsy and seizure disorders during childhood, and their relationship to selected social determinants. Methods:Population-based birth cohort study, with children born between January 1st and December 31st, 2003 in the city of Passo Fundo (RS), Brazil. Data was prospectively collected in two stages. In the first one, the Questionnaire of Neurologic Tracking for Epilepsy (QNT-E) was applied at the children's homes, together with the assessment of social determinants of health. Constructs of social position (economical class, mother's educational level, marital status and occupation), biological and behavioral factors (alcohol and tobacco consumption during pregnancy, number of prenatal appointments, and use of medicines during pregnancy), and psychosocial factors (religious meetings attendance) were analyzed. In the second stage, children with a positive QNT-E were submitted to neuroclinical assessment for diagnostic confirmation.Results: Eleven cases of epilepsy, 27 of febrile seizures, 10 of neonatal seizures, 8 of single seizures, besides 26 patients with nonepileptic paroxysmal events, were identified. The incidence rate of epilepsy was 7/100,000 children and the prevalence 65.2/10,000 children. Nine children had active epilepsy, giving a point prevalence of 53.3/10,000 children. After multivariate analysis, no social determinants could be significantly related to epilepsy. Conclusions:In this study, a low incidence rate of epilepsy was reported in contrast to almost a double incidence of febrile seizures and non-epileptic paroxysmal events. Moreover, the achievement of an accurate diagnosis of epilepsy in developing countries is still a challenge, in order to avoid misdiagnosis.J Pediatr (Rio J). 2011;87(1):50-56: Epilepsy, epileptic syndromes, incidence, prevalence, childhood. ResumoObjetivo: Investigar a incidência e prevalência de epilepsia e distúrbios convulsivos na infância e sua relação com os determinantes sociais escolhidos.Métodos: Estudo de coorte de nascimento de base populacional, com crianças nascidas entre 1/01 e 31/12/2003 na cidade de Passo Fundo (RS). Os dados foram coletados prospectivamente em duas etapas. Na primeira, foi aplicado o Questionário de Rastreamento Neurológico para Epilepsia (QRN-E) durante uma visita à casa das crianças, juntamente com a avaliação dos determinantes sociais da saúde. Foram analisados construtos de posição social (classe econômica, escolaridade, estado civil e ocupação da mãe), fatores biológicos e comportamentais (consumo de álcool, tabaco e medicamentos na gravidez, e consultas pré-natais) e fatores psicológicos (participação em cerimônias religiosas). Na segunda etapa, as crianças cujos QRN-E apresentaram resultado positivo foram submetidas a avaliação neuroclínica para confirmação do diagnóstico. Resultados:Foram identificados 11 casos de epilepsia, 27 de convulsões febris, 10 de convulsões neonatais, 8 de crise única, além de 26 pacientes com eventos paroxísticos não epilépticos. A incidê...

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“…Many studies assessing the prevalence of epilepsy are available in the literature, but not so many have evaluated the incidence of epilepsy in a specific child population. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] The incidence of epilepsy has been studied in several countries and in several subgroups of the population.…”

Section: Introductionmentioning

confidence: 99%

Incidência de epilepsia e distúrbios convulsivos na infância e sua associação com determinantes sociais: um estudo de coorte de nascimento

Nunes

¹

,

Geib²,

Apego³

2011

J. Pediatr. (Rio J.)

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Objective: To investigate the incidence and prevalence of epilepsy and seizure disorders during childhood, and their relationship to selected social determinants. Methods:Population-based birth cohort study, with children born between January 1st and December 31st, 2003 in the city of Passo Fundo (RS), Brazil. Data were prospectively collected in two stages. In the first one, the Questionnaire of Neurologic Tracking for Epilepsy (QNT-E) was applied during a visit at the children's homes, together with the assessment of social determinants of health. Constructs of social position (economic class, mother's educational level, marital status and occupation), biological and behavioral factors (alcohol and tobacco consumption during pregnancy, number of prenatal appointments, and use of medicines during pregnancy), and psychosocial factors (religious meetings attendance) were analyzed. In the second stage, children with a positive QNT-E were submitted to neuroclinical assessment for diagnostic confirmation.Results: Eleven cases of epilepsy, 27 of febrile seizures, 10 of neonatal seizures, 8 of single seizures, in addition to 26 patients with non-epileptic paroxysmal events, were identified. The incidence rate of epilepsy was 7/100,000 children, and the prevalence 65.2/10,000 children. Nine children had active epilepsy, giving a point prevalence of 53.3/10,000 children. After multivariate analysis, no social determinants could be significantly related to epilepsy. Conclusions:In this study, a low incidence rate of epilepsy was reported, in contrast to almost a double incidence of febrile seizures and non-epileptic paroxysmal events. Moreover, the achievement of an accurate diagnosis of epilepsy in developing countries is still a challenge, in order to avoid misdiagnosis.

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Epilepsy in Children in Navarre, Spain: Epileptic Seizure Types and Epileptic Syndromes

Cited by 23 publications

References 24 publications

Prevalence of epilepsy amongst adolescents in Huesca, Spain: a community‐based study

Prevalence of epilepsy amongst adolescents in Huesca, Spain: a community‐based study

Incidence of epilepsy and seizure disorders in childhood and association with social determinants: a birth cohort study

Incidência de epilepsia e distúrbios convulsivos na infância e sua associação com determinantes sociais: um estudo de coorte de nascimento

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