소아 간질의 임상적 고찰

• 영문명: A CLINICAL STUDY ON CHILDHOOD EPILEPSY
• 발행기관: 대한소아신경학회
• 저자명: 변종인(Jong-In Byun) 김영훈(Young-Hoon Kim) 이인구(In-Goo Lee) 황경태(Kyung-Tai Whang)
• 간행물 정보: 『Annals of Child Neurology(구 대한소아신경학회지)』대한소아신경학회지 제1권 제1호, 99~105쪽, 전체 7쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 1993.09.20

영문 초록

We performed this prospective study to analyse the clinical findings on 457 epileptic children (male 250, female 207) whose seizures were followed up for at least one year among 1,052 patients under 15 years of age seen at the child neurology clinic of Kangnam St. Mary's hospital from 1981 to 1990. The mean duration of follow-up investigation was 3.6 years. The results were as follows : 1. In the sex distribution, the ratio of males to females was 1.3:1 2. In the age distribution at the onset of first seizure, the proportion of patients below 5 years of age occupied more than a half of all the patients with epilepsy(58.4%), of whom the patients in the group of less than 2 years of age accounted for 34.5%, and the patients in the group of 3-5 years of age stood at 23.9%. 3. With regard to family history, a positive past history of febrile convulsion was present in 21.9% of patients, and 11.6% of parents and siblings. On the other hand, a positive history of 21.9% of patients, and 11.6% of parents and siblings. On the other hand, a positive history of epilepsy was present in 2.6% 4. The causative factors of epilepsy were identified in 31.9% of the 457 patients in this study. Of these factors, four leading ones in order of frequency were birth asphyxia/trauma(25.7%), congenital abnormalities(19.4%), CNS infection(16.7%) and head injury(16.0%). 5. Classification of epilepsy revealed generalized seizures in 37.2%, partial seizures in 52.3%, and mixed seizures in 10.5% of the cases. The most common type of seizure was tonic and/or clonic seizures(26.7%) in generalized seizure and simple partial seizures(38.1%) in partial seizure. 6. Abnormal EEG findings were in 77.4% of patients with partial seizure, 43.5% of patients with generalized seizure and 75.0% of patients with mixed seizure.