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Epilepsy in the adolescence

N Nishiura, T Oiwa

    Folia Psychiatrica Et Neurologica Japonica
    |January 1, 1981
    PubMed
    Summary

    Childhood epilepsy impacts brain development and mental activity, with distinct age-related benign and malignant phenomena. Early intervention and comprehensive care are crucial for adolescents with epilepsy.

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    Area of Science:

    • Neurology
    • Developmental Psychology

    Background:

    • Recurrent childhood seizures affect brain development and mental function.
    • Epilepsy presents unique clinical and EEG features tied to developmental stages.

    Observation:

    • Adolescence imposes additional burdens on epileptic patients' mental and emotional development.
    • Two age-related phenomena are presented: benign rolandic discharges (RD) linked to sylvian seizures, and malignant psychopathic personality emerging post-puberty.

    Findings:

    • Rolandic discharges (RD) are identified as a benign EEG indicator associated with Lombroso's sylvian seizures.
    • Psychopathic personality, appearing after seizure cessation around puberty, represents a malignant outcome.

    Implications:

    • Children with epilepsy, especially during puberty, face significant psychiatric and psychological challenges.
    • Effective pharmacotherapy, medical services, and social support are essential for managing epilepsy in children and adolescents.

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