Syndromic classification of patients with typical absence seizures

Arquivos de Neuro-Psiquiatria

Laura M.f.f. Guilhoto¹  Maria Luíza G. Manreza¹  Elza M.t. Yacubian¹ 

[1] ,Universidade de São Paulo Faculdade de Medicina Hospital das ClínicasSão Paulo SP ,Brazil

关键词: absence epilepsy;    generalized epilepsy;    idiopathic epilepsy;    epilepsy syndromes;    classification;    epilepsia ausência;    epilepsia generalizada;    epilepsia idiopática;    síndromes epilépticas;    classificação;   

DOI  :  10.1590/S0004-282X2003000400010

来源: SciELO

【 摘 要 】

The aim of this study is to compare ILAE classification (1989) and Panayiotopoulos' criteria (1997) for absence epilepsies. We studied 455 typical absences (ILAE, 1981) by video-EEG in 43 patients with normal neurological and neuroradiological examinations and interictal EEG with spike-wave complexes higher than 2.5Hz. Syndromic diagnosis was possible in 60.5% and 67.4% of the patients using ILAE classification and Panayiotopoulos' proposal, respectively. According to ILAE criteria 19 patients had childhood absence epilepsy (CAE), five juvenile absence epilepsy (JAE), one juvenile myoclonic epilepsy (JME) and one epilepsy with specific modes of seizure precipitation. According to Panayiotopoulos' proposal, 10 had CAE, 14 JAE, one JME, three myoclonic absence epilepsy and one eyelid myoclonia with absences. We conclude that Panayiotopoulos' criteria and ILAE classification for absence epilepsies, which did not allow for the classification of 32.6% and 39.5% of cases, respectively, were still insufficient to classify all patients under specific diagnosis.

【 授权许可】

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