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EDITED BY PROFESSOR YASSER METWALLY |
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Age dependant epileptic syndromes [Part I] |
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The age of the patients has great influence on the ictal, clinical
and EEG characteristics of the epileptic seizures disorders and it
also determines the course and prognosis of epilepsy in general. This
is particularly true in the first two decades of life, especially for
infancy and early childhood. There are certain age- determined
epileptological entities or epileptic conditions which appear to be
monolithic, in spite of a wide variety of etiologies and probably
also despite variations in the localization of cerebral involvement.
The role of age in epileptic seizure disorder has been substantiated
by experimental work and clinical electroencephalographic
investigations. We find in age-determined epileptic conditions a)
certain condition-related types of seizures, b) certain
condition-related EEG patterns, and c) certain condition-related
characteristics of course and prognosis..Click
here for the whole story |
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Neonatal convulsions |
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In the neonatal period of life, epileptic seizures are fairly common
and may be caused by a wide variety of etiologies. There is some
reason to presume that neonatal convulsions play a greater role in
the lives of full-term infants than in premature infants,
notwithstanding the high risk of brain damage caused by prematurity.
The neonatal period may be extended to the first 3 mos of life by
some, while holders of a stricter view limit this period to the first
3 wk. Neonatal convulsions are common; their prevalence may range
from 0.2% to 1.2% of all live births. Click
here for the whole story |
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Infantile spasms (hypsarrhythmia) |
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Infantile spasms consist of sudden tonic and myoclonic phenomena. The
term "infantile spasms" is quite satisfactory from the
clinical viewpoint and should be preserved. "Hypsarrhythmia"
is an EEG term which denotes the EEG correlate of the condition and
has found surprisingly wide acceptance with clinicians; a clinical
term such as infantile spasms is certainly preferable as far as the
clinical condition as such is concerned. .Click
here for the whole story |
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