소아에서 뇌연화증에 동반한 뇌전증의 발생 양상

• 영문명: Epilepsy Associated with Encephalomalacia in Children
• 발행기관: 대한소아신경학회
• 저자명: 류수영(Soo Young Lyu) 배미혜(Mi Hye Bea) 이윤진(Yun Jin Lee) 김영미(Young Mi Kim) 남상욱(Sang Ook Nam)
• 간행물 정보: 『Annals of Child Neurology(구 대한소아신경학회지)』대한소아신경학회지 제22권 제3호, 137~142쪽, 전체 6쪽
• 주제분류: 의약학 > 소아과학
• 파일형태: PDF
• 발행일자: 2014.12.31

영문 초록

Purpose: Encephalomalacia is one of the major causes of symptomatic epilepsy. However, no previous study has examined the correlation between encephalomalacia and epilepsy in children. In this study, we aimed to quantify the prevalence, clinical features, and risk factors of epilepsy associated with encephalomalacia. Methods: We performed a retrospective review of the medical records of 95 patients who were diagnosed with encephalomalacia by neuroimaging techniques at Pusan National University Children's Hospital between November 2008 and July 2013. Patients were classified into two groups: epilepsy (Group A) and non-epilepsy (Group B). We compared the demographics, underlying causes, and distribution of encephalomalacic lesions of these two groups. Results: Groups A and B comprised 35 (36.8%) and 60 (63.1%) patients, respectively. Compared to Group B, Group A showed shorter mean gestational period (35.99±4.63 vs. 38.09±3.70, P=0.02), lower birth weight (2.60±0.94 vs. 3.02±0.64, P=0.02), and earlier onset of encephalomalacia (2.74±3.52 vs. 5.60±5.96, P=0.01). In comparing the underlying cause of encephalomalacia, the occurrence of epilepsy was lower after cerebrovascular disease (P<0.01), but trended towards a higher incidence after a central nervous system infection (P=0.09). Multifocal encephalomalacic lesions were significantly higher in Group A (P=0.04). Conclusion: The risk factors for epilepsy associated with encephalomalacia are early gestational age, low birth weight, early onset of encephalomalacia, and multifocal encephalomalacic lesions. It may be necessary for clinicians to search for these risk factors, and make a particularly close observation on these patients.

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키워드

Encephalomalacia Epilepsy