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Prediction of Response to Treatment in Children with Epilepsy
Mohammad Ghofrani1, Mohammad Mehdi Nasehi1, Sasan Saket1
1Child Neurology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Insights
Predicting treatment response in children with epilepsy is crucial for effective management. Abnormal electroencephalogram (EEG) findings significantly influence treatment outcomes in pediatric epilepsy patients.
Area of Science:
- Pediatric Neurology
- Epileptology
- Clinical Neurophysiology
Background:
- Epilepsy affects a significant number of children globally.
- Predicting treatment response is essential for optimizing therapeutic strategies and improving patient outcomes.
- Understanding factors influencing treatment efficacy in pediatric epilepsy is a key clinical challenge.
Purpose of the Study:
- To predict treatment response in children with epilepsy receiving anti-epilepsy drugs.
- To identify factors associated with good or poor response to anti-epilepsy drug treatment in pediatric patients.
Main Methods:
- An analytical, questionnaire-based study involving 128 children diagnosed with epilepsy.
- Patients aged 2 months to 12 years were followed for 6 months to assess treatment response.
- Good response was defined as seizure freedom with two anti-epilepsy drugs during the follow-up period.
Main Results:
- Abnormal electroencephalogram (EEG) findings were observed in 78.9% of patients.
- A significant proportion of patients (68.8%) showed a poor response to treatment.
- History of asphyxia (Odds Ratio = 6.82), neonatal jaundice (Odds Ratio = 2.81), and abnormal EEG (Odds Ratio = 0.19) were identified as significant factors influencing treatment response.
Conclusions:
- Abnormal EEG is a significant predictor of treatment response in children with epilepsy.
- Factors such as asphyxia and neonatal jaundice also play a role in treatment outcomes.
- Further research is warranted to explore these associations and refine treatment strategies.
Objective:
This study was conducted to predict the response to treatment in patients treated with anti-epilepsy drugs.
Material And Methods:
This analytical questionnaire-based study was conducted in 2014 among 128 patients with epilepsy admitted to Mofid Children's Hospital, Tehran, Iran. The inclusion criteria were children 2 months to 12 yr of age with epilepsy and patients who experienced fever and seizure attacks at least once were excluded from the study. Patients were followed up for 6 months and the response to their treatment was recorded. The good response to treatment was defined as the absence of seizure with two drugs during follow up.
Results:
Seventy-two patients (56.3%) were boys. The age of the first seizure was under 2 yr old in 90 patients (70.3%). History of febrile convulsion, family history of epilepsy and history of asphyxia was found in 16 (12.5%), 41 (32%), and 27 (21.1%) patients, respectively. Seizure etiology was idiopathic in 90 patients (70.3%), and the number of seizures was 1-2 in 36 patients (28.1%). Overall, 57 patients (44.5%) had cerebral lesion according to CT scan or MRI, and EEG was abnormal in 101 patients (78.9%). In 6-month follow-up, 40 patients (31.3%) responded well to the treatment and 88 patients (68.8%) responded poorly to the treatment. History of asphyxia (OR = 6.82), neonatal jaundice (OR = 2.81) and abnormal EEG (OR = 0.19) were effective factors in response to treatment.
Conclusion:
Abnormal EEG is an effective factor in treatment response in the children studied.
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