지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 121 - 126 (6page)
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초록· 키워드
오류제보하기
Purpose: Among syndromes of idiopathic occipital lobe epilepsy there are Panayiotopoulos syndrome (PS) and idiopathic childhood occipital epilepsy of Gastaut (ICOE-G). However, the classification of epilepsy syndrome is difficult to diagnose at the first seizure because of varying characteristics. We analyzed the different clinical characteristics and prognostic factors of idiopathic occipital lobe epilepsy.
Methods: Forty-three patients who had at least two unprovoked seizures, no abnormalities on magnetic resonance imaging, no known etiology of seizure, and mainly occipital spikes on electroencephalography were retrospectively enrolled at the Korea University Medical Center. A good prognosis was defined as being seizure-free and taking two or less drugs for 1 year.
Results: Among all patients, the proportion of PS was 44.2%, ICOE-G was 7.0% and unclassified group was 48.8%. The age at seizure onset was 4.5±2.6 years (mean±SD) in the PS group, and 8.3±2.1 years in the ICOE-G group. The follow-up duration was 10.8±6.0 years. The percentage that the initial diagnosis had not been changed was 66.7% in the PS group and 100% in the ICOE-G group. Among other related symptoms only emesis (P<0.001) and visual symptoms (P=0.007) had varying characteristics between the PS and ICOE-G groups. Patients with PS had a better prognosis than those with ICOE-G or unclassified group (odds ratio [OR]=58.8). Patients with 1 more autonomic symptoms had a worse prognosis (OR=3.8).
Conclusion: This study showed that only symptoms of emesis and visual symptoms can differentiate between PS and ICOE-G. More autonomic symptoms were associated with worse prognosis in childhood occipital lobe epilepsy.
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등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
Berg AT / 1999 / Classification of childhood epilepsy syndromes in newly diagnosed epilepsy : interrater agreement and reasons for disagreement / Epilepsia 40 : 439 ~ 444
Berg AT / 2000 / How well can epilepsy syndromes be identified at diagnosis? A reassessment 2 years after initial diagnosis / Epilepsia 41 : 1269 ~ 1275
Capovilla G / 2009 / Changes in Panayiotopoulos syndrome over time / Epilepsia 50 (Suppl 5) : 45 ~ 48
Covanis A. / 2006 / Panayiotopoulos syndrome: a benign childhood autonomic epilepsy frequently imitating encephalitis, syncope, migraine, sleep disorder, or gastroenteritis
Covanis A. / 2008 / Correspondence on "Childhood epilepsy with occipital paroxysms: difficulties in distinct segregation into either the early-onset or late-onset epilepsy su
Berg AT / 2000 / How well can epilepsy syndromes be identified at diagnosis? A reassessment 2 years after initial diagnosis / Epilepsia 41 : 1269 ~ 1275
Capovilla G / 2009 / Changes in Panayiotopoulos syndrome over time / Epilepsia 50 (Suppl 5) : 45 ~ 48
Covanis A. / 2006 / Panayiotopoulos syndrome: a benign childhood autonomic epilepsy frequently imitating encephalitis, syncope, migraine, sleep disorder, or gastroenteritis
Covanis A. / 2008 / Correspondence on "Childhood epilepsy with occipital paroxysms: difficulties in distinct segregation into either the early-onset or late-onset epilepsy su
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