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Complex partial seizures in childhood.

E Oka, T Ogino, K Kobayashi

    Folia Psychiatrica Et Neurologica Japonica
    |January 1, 1985
    PubMed
    Summary
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    This study investigated complex partial seizures in children, finding they resemble Lennox

    Area of Science:

    • Pediatric Neurology
    • Epileptology
    • Clinical Neurophysiology

    Background:

    • Complex partial seizures (CPS) are a significant subtype of epilepsy in children.
    • Understanding the clinical and electroencephalographic (EEG) features of CPS is crucial for accurate diagnosis and management.
    • The International Classification of Epileptic Seizures (1981) provides a framework for classifying seizure types.

    Purpose of the Study:

    • To conduct a clinical and electroencephalographic study of children diagnosed with complex partial seizures.
    • To analyze the prevalence, ictal symptoms, and EEG findings associated with CPS in a pediatric cohort.
    • To explore the relationship between CPS, automatism, and Lennox syndrome.

    Main Methods:

    • A cohort of 215 children with complex partial seizures was selected based on the 1981 International Classification of Epileptic Seizures.

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  • Clinical data and electroencephalographic (EEG) recordings were analyzed.
  • Ictal symptoms and interictal EEG findings were systematically evaluated.
  • Main Results:

    • Complex partial seizures were identified in 7.8% of the studied epileptic children.
    • Ictal symptoms of CPS showed resemblance to the psychomotor triad described by Lennox.
    • Interictal EEG revealed seizure discharges from temporal or frontal foci in 57.2% of cases.
    • A subset of patients with automatism exhibited both diffuse slow spike-waves and focal temporal spikes, suggesting a link to secondary generalized epilepsies.

    Conclusions:

    • Complex partial seizures in children share clinical characteristics with Lennox's psychomotor triad.
    • EEG findings, including focal temporal spikes and diffuse slow spike-waves in patients with automatism, suggest a variant of Lennox syndrome and secondary generalized epilepsies.
    • These findings contribute to a better understanding of the heterogeneity of partial epilepsies in childhood.