CHILDHOOD ABSENCE EPILEPSY: SPECIFIC FEATURES OF THE DISEASE COURSE AND OUTCOMES

Childhood absence  epilepsy  (CAE) is an idiopathic generalized epilepsy,  which could be attributed to genetic  forms according to the latest proposals  of the Commission  on Classification and Terminology of the International  League Against  Epilepsy  (2016).  CAE has  specific  clinical and  enc...

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Bibliographic Details
Main Authors: I. O. Schederkina, A. A. Shadrova, N. N. Zavadenko, I. E. Koltunov
Format: Article
Language:Russian
Published: IRBIS LLC 2017-05-01
Series:Эпилепсия и пароксизмальные состояния
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Online Access:https://www.epilepsia.su/jour/article/view/336
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Summary:Childhood absence  epilepsy  (CAE) is an idiopathic generalized epilepsy,  which could be attributed to genetic  forms according to the latest proposals  of the Commission  on Classification and Terminology of the International  League Against  Epilepsy  (2016).  CAE has  specific  clinical and  encephalographic  characteristics.  Data regarding cognitive impairment  in children with CAE is still controversial. There are some  attempts  to introduce more  strict diagnostic criteria to be able to define the disease course and prognosis of this form of epilepsy. These are the criteria proposed by Panayiotopoulos C. P.  in  2005.  Objective.  To  asses   specific  features  of  CAE taking  into  account  the  criteria of Panayiotopoulos C. P. (2005). Materials  and  methods. We have retrospectively  analyzed 186 cases  of CAE in children; study participants were divided into groups according to Panayiotopoulos’s criteria (2005). Results.  Children from the group allocated in accordance with Panayiotopoulos’s criteria had neither generalized tonic-clonic seizures (GTCS) nor myoclonic  seizures; control of absence  seizures  was achieved in 94.3% of the cases; almost  90% of children in this group received monotherapy with mean treatment duration of 2.8 years. Conclusions. The use of more precise diagnostic criteria for CAE will help to predict clinical course of this form of epilepsy and its outcome.
ISSN:2077-8333
2311-4088