Beruflich Dokumente
Kultur Dokumente
Infantile spasms
Peak age is 3-8months Occurs when the child is awakening from or going to
sleep. Occurs in clusters a day, can be of variable duration. When flexion of the thighs and crying are prominent ,can be mistaken for colic. If not treated,can lead to autistic behaviour. Tuberculous sclerosis is the commonest cause Treatment- ACTH, oral corticosteroids, benzodiazepines, valproic acid and vigabatrin.
Lennox-Gastaut syndrome
Occurs less than 5 years of age Multiple seizure types Children have underlying brain injury and malformations
Astatic-akinetic(atonic seizure)
Onset-1-3 years of age Duration-1-4 seconds Tend to fall to ground and
dropping of head. Tonic component Repeated head injury can be prevented by using a safety helmet. 50 or more daily seizures. Developmental delay. Tuebrculous sclerosiscommon cause
Rasmussen encephalitis
Onset-6-10 years Focal persistent motor seizure activity Hemiplegia and cognitive deterioration Hemispherectomy successful therapy seizure eradication prevent cognitive deterioration Permanent hemiparesis is an ineveitable consequence.
CSWS
Malignant rolandic
Landau Kleffner
Age of onset
24 years
Before 6 years
38 years
EEG pattern
ESES
ESES
ESES
Central
Aetiology
Cryptogenic
CSWS Cryptogenic (normal development before) or symptomatic (preexisting encephalopathy) Reduced attention span
Malignant rolandic epilepsy Cryptogenic (gliosis or dysplasia if cortical excision performed) Difficulties to maintain Difficulties in verbal learning and working memory
LandauKleffner syndrome
Aetiology
Rarely symptomatic
Attention
Memory
Poor performance
Impaired temporospatial orientation Aggresiveness, hyperkinesia Expressive aphasia
Hyperactivity
Dysarthria or dysphasia
Excitability, hyperactivity
Auditory agnosia, acquired aphasia
Seizures
Often nocturnal seizures at the beginning; partial/ generalized: unilateral or bilateral clonic, generalized; never tonic
Somatomotor often nocturnal at the beginning; then negative myoclonus during wakefulness, atypical absences, epileptic falls,
Eyelid myoclonia, eye blinking, atypical absences, head drops and atonic fits in upper limbs, automatisms,
References
http://www.sciencedirect.com/science/article/pii/S10591