Paroxysmal non‐epileptic events in children: A retrospective study over a period of 10 years

Bye, Ann; Kok, Dirk J.; Ferenschild, Floris T. J.; Vles, Johan S.H.

doi:10.1046/j.1440-1754.2000.00496.x

Cited by 107 publications

(109 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In support of this view, a retrospective study of paroxysmal nonepileptic events in 666 pediatric patients found 7% of all events to be shuddering attacks. 11 Further investigations in affected infants are usually not indicated. Reassurance of parents is crucial since relatives are often frightened by the unexpected appearance and often high frequency of the attacks.…”

Section: Go To Sectionmentioning

confidence: 99%

Clinical Reasoning: Shuddering attacks in infancy

Tibussek¹,

Karenfort²,

Mayatepek³

et al. 2008

Neurology

View full text Add to dashboard Cite

A 6-month-old boy was brought in by his parents because of a series of paroxysmal shivering episodes. The parents were able to document one attack on video (video 1 on the Neurology ® Web site at www.neurology.org). The attack began with sudden staring, followed by opening of the mouth, noisy stridulous inspiration, and shivering movements predominantly of his neck and shoulders. This was accompanied by a slight deviation of his eyes, head, and mouth to the right side. The parents reported that these attacks seemed to occur particularly while eating (video 2) and were often preceded by myoclonic jerks of the mouth. The patient was staring but seemed alert. Onset and termination of the events were always abrupt and the child immediately continued his activities. Duration of the episodes was no longer than 5 to 15 seconds.We were able to observe more than 20 of these episodes within a period of 48 hours while he was hospitalized (example given in video 3).

show abstract

Section: Go To Sectionmentioning

confidence: 99%

Clinical Reasoning: Shuddering attacks in infancy

Tibussek¹,

Karenfort²,

Mayatepek³

et al. 2008

Neurology

View full text Add to dashboard Cite

show abstract

“…[7][8][9][10][11][12][13][14] Although the presentation of specific disorders has been described in detail, the literature contains only scant data concerning the relative frequency of various types of PNEs in children and adolescents. Recently, Bye et al 15 reported that PNEs accounted for 43% of children who underwent video-electroencephalographic (EEG) monitoring. In our study, we have examined the relative frequency of different PNE disorders encountered during a 6-year period in our Pediatric Epilepsy Monitoring Unit (PEMU).…”

mentioning

confidence: 99%

Paroxysmal Nonepileptic Events in Children and Adolescents

et al. 2002

View full text Add to dashboard Cite

ABSTRACT. Objective. Paroxysmal nonepileptic events (PNEs) are frequently encountered in children and adolescents; however, there is little information concerning the relative frequency of various types of these disorders. We report our experience with PNEs in a group of children and adolescents who underwent prolonged video-electroencephalographic monitoring.Methods. During a 6-year period, 883 patients were monitored in the Pediatric Epilepsy Monitoring Unit and 134 patients (15.2%) were documented to have PNEs on the basis of a typical spell recorded during monitoring. Their hospital charts were reviewed and videotapes of these events were analyzed.Results. Patients were divided into 3 age groups: 1) the Infant, Toddler, and Preschool Group (2 months-5 years) that comprised 26 patients. The most common diagnoses were stereotyped movements, hypnic jerks, parasomnias, and Sandifer syndrome. Concomitant epilepsy was present in 12 patients (46%). 2) The School-Age Group (5-12 years) consisted of 61 patients. The most frequent diagnoses were conversion disorder (psychogenic seizures), inattention or daydreaming, stereotyped movements, hypnic jerks, and paroxysmal movement disorders. Fifteen patients (25%) had concomitant epilepsy. 3) The Adolescent Group (12-18 years) consisted of 48 patients, of whom 40 patients (83%) were diagnosed with conversion disorder. Nine patients (19%) had concomitant epilepsy.Conclusions. In our patients with PNEs, conversion disorder was seen in children >5 years old and its frequency increased with age, becoming the most common type of PNEs among adolescents. In adolescents, conversion disorder was more common in females, whereas males predominated in the school-aged group. Concomitant epilepsy with nonepileptic events occurred in all 3 age groups to a varying extent. Pediatrics 2002;110(4). URL: http://www.pediatrics.org/cgi/content/full/110/4/ e46; nonepileptic, paroxysmal, psychogenic seizures, children, adolescents.

show abstract

“…Video-EEG epileptik nöbetlerin klinik ve EEG özelliklerinin belirlenmesinin yanı sıra nonepileptik paroksismal olayların tanımlan-masında da kullanılır; nonepileptik olayların tanısında altın standart kabul edilmektedir. [15] Çocukluk çağında iktal semiyolojiyi değerlendirirken nö-betlerin yaş ve nörolojik gelişimle birlikte değişeceği, eriş-kin yaş grubundan farklı klinik davranış özellikleri ve EEG bulguları göstereceğinin bilinmesi gerekir. [16][17][18][19][20][21][22] Örneğin 7 yaş altı çocuklarda frontal lob epilepsi daha çok epileptik spazm, belirsiz davranış değişiklikleri, spontan aktivitenin durması gibi bulgular verir; temporal lob epilepsi hem motor hem EEG bulguları açısıdan fokal bulgular yerine diffüz/ bilateral özellikler gösterebilir.…”

Section: çOcukluk çAğında Epilepsi Cerrahisi öNcesi Değerlendir-meunclassified

Intractable Epilepsy in Childhood: Presurgical Evaluation and Treatment

Yalnızoğlu¹

2016

Epilepsi

View full text Add to dashboard Cite

ÖzetÇocukluk çağı epilepsilerinde erken tedavi ile nöbet kontrolünün sağlanması, tekrarlayan nöbetlere bağlı nöronal hasarın engellenmesi, normal gelişimin yakalanması, ilaç yan etkilerinin en aza indirilmesi ve hayat kalitesinin artırılması açısından büyük önem taşır. Dirençli epilepsinin tedavi seçenekleri arasında epilepsi cerrahisi son yıllarda giderek artan bir ağırlık kazanmıştır. Ekstratemporal epilepsilerin oranının daha fazla olması, etyolojide gelişimsel lezyonların öne çıkması nedeniyle pediatrik epilepsi popülasyonu erişkin yaş grubuna oranla daha refrakter bir profil çizer. Bununla birlikte epilepsi cerrahisi sonuçlarının nöbet kontrolü açısından erişkin ve çocuk yaş grubunda benzer sonuçlar verdiği gösterilmiştir; yetişkinlerde olduğu gibi süt çocuğu yaş grubu dahil çocukluk çağında da başarıyla uygulanabilmektedir. Bu yazıda çocukluk çağı epilepsilerinde epilepsi cerrahisi uygulamaları tartışılacaktır.Anahtar sözcükler: Çocuklar; dirençli; epilepsi; epilepsi cerrahisi. SummaryIn childhood, early treatment and management of seizures are essential to prevent neuronal injury owing to intractable seizures, as well as achieving normal development, minimizing the adverse effects of antiepileptic drugs, and improving quality of life. Epilepsy surgery has become an important option in the treatment of intractable epilepsy. Children with intractable epilepsy have a more refractory profile compared to adults due to the higher rates of extratemporal epilepsies and develeopmental lesions as the underlying etiology. However, both adults and children have similar outcome following epilepsy surgery, and surgical treatment is efficiently applied in pediatric patients including infants. This paper reviews presurgical evaluation in children with intractable epilepsy and summarizes treatment modalities.

show abstract

Paroxysmal non‐epileptic events in children: A retrospective study over a period of 10 years

Abstract: Paroxysmal non-epileptic events can cause diagnostic confusion, particularly in children with developmental delay, epilepsy or an epileptiform EEG. Accurate diagnosis can be reached in the majority of cases using video EEG monitoring.

Cited by 107 publications

References 21 publications

Clinical Reasoning: Shuddering attacks in infancy

Clinical Reasoning: Shuddering attacks in infancy

Paroxysmal Nonepileptic Events in Children and Adolescents

Intractable Epilepsy in Childhood: Presurgical Evaluation and Treatment

Contact Info

Product

Resources

About