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Updated: Sep 20, 2026

Electromagnetic Source Imaging in Presurgical Evaluation of Children with Drug-Resistant Epilepsy
Published on: September 20, 2024
[Characteristics of symptomatic epilepsy in hospitalized children two years and younger]
Bogusława Zelwiańska1, Małgorzata Steczkowska-Klucznik, Aleksandra Gergont
1Klinika Neurologii Dzieciecej Wydziału Lekarskiego Collegium Medicum Uniwersytetu Jagiellońskiego, 30-663 Kraków, ul. Wielicka 265. neupedkr@krakow.pl
Insights
Pediatric epilepsy in children under two often stems from perinatal issues, with generalized seizures being most common. Effective seizure control was achieved in 77% of epilepsy cases.
Area of Science:
- Pediatric Neurology
- Clinical Neuroscience
- Epileptology
Context:
- Focuses on 248 children under two years old hospitalized between 1995-2000.
- Examines diagnostic and therapeutic challenges in young epilepsy patients.
- Highlights the importance of early diagnosis and intervention in pediatric epilepsy.
Purpose:
- To analyze diagnostic and therapeutic problems in infants and toddlers with epilepsy.
- To evaluate the effectiveness of various treatments for pediatric epilepsy.
- To identify the causes and seizure types in young children with epilepsy.
Summary:
- Epilepsy in this cohort was predominantly symptomatic, often linked to perinatal pathologies.
- Generalized seizures were the most frequent type observed.
- Video electroencephalography (EEG) and neuroimaging were key diagnostic tools.
- Epilepsy seizure control was achieved in 77% of cases, with symptomatic epilepsy showing a 67% control rate.
Impact:
- Provides insights into epilepsy management in a vulnerable pediatric population.
- Emphasizes the link between perinatal issues and childhood epilepsy.
- Informs clinical practice regarding diagnostic and therapeutic strategies for young children with epilepsy.
Abstract:
The authors discuss diagnostic and therapeutic problems of 248 children below 2 years of age hospitalized in the Department of Pediatric Neurology in Kraków in the years 1995-2000. The analysis included the type of seizures and supplementary examinations, including electrophysiological tests with video EEG and neuroimaging studies. The mental and motor development of these patients was also evaluated along with the employed therapy and its effectiveness. In the majority of children epilepsy was symptomatic and most often resulted from perinatal pathologies. The predominant type of seizures was generalized; of 248 children in 33 the characteristic epileptic syndrome was diagnosed. Among children with epilepsy seizure control was achieved in 77% of cases, while in children with symptomatic epilepsy the corresponding control rate was 67%.
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