西北国防医学杂志2018，Vol.39Issue(1)：1-4,4.DOI:10.16021/j.cnki.1007-8622.2018.01.001
84例脑性瘫痪患儿合并癫痫的临床特征
Clinical features of 84 cerebral palsy children with epilepsy
摘要
Abstract
Objective:To study the clinical features of epilepsy(EP)in children with cerebral palsy(CP).Methods:The clinical data of 84 CP children with EP were collected and compared with that of 57 CP children without EP,to explore clinical characteristics of EP in children with CP.Results:In 84 CP children with EP,40 cases (47.6％)were spastic tetraplegia,and 21 cases (25.0％)were spastic hemiplegia.There were 45 cases (53.6％) have the onset of EP before one years old,and 18 cases (45％)were spastic tetraplegia.Among 84 CP children complicated with EP,39 cases (46.4％)were tonic-clonic seizures,18 cases (21.4％) were of focal seizures,13 cases(15.5％)were infantile spasms.Brain imaging changes mainly focused on gray matter or gray and white matter damage,and localized epileptic discharge was commonly seen in EEG changes.Compared with children with CP without EP,the types of CP,brain imaging and EEG of children with CP combined with EP have statistical significance.Conclusion:EP is more likely to occur in children with spastic tetraplegia.Most onset time of EP is before one years old,and tonic-clonic seizures is dominate in CP children.The brain imaging and EEG have great significance to early diagnosis of EP and the judgement of the prognosis.关键词
脑性瘫痪/癫痫/儿童/临床特征Key words
cerebral palsy/epilepsy/children/clinical features分类
医药卫生引用本文复制引用
张心,张功纯,王文雯,张宁,吴德,唐久来..84例脑性瘫痪患儿合并癫痫的临床特征[J].西北国防医学杂志,2018,39(1):1-4,4.基金项目
国家科技部科研项目(2014BAL03800) （2014BAL03800）
