BACKGROUND Epilepsy is a syndrome characterized by transient,rigid,paroxysmal,and repetitive central nervous system dysfunction.Prevention,control,and improvement of cognitive and behavioral dysfunction are of great s...BACKGROUND Epilepsy is a syndrome characterized by transient,rigid,paroxysmal,and repetitive central nervous system dysfunction.Prevention,control,and improvement of cognitive and behavioral dysfunction are of great significance for improving the patients’intellectual development and quality of life.Electroencephalograms(EEG)can predict an accelerated decline in cognitive function.AIM To determine the clinical and EEG characteristics and treatment results of benign epilepsy in spiking children.METHODS A total of 106 cases of benign epilepsy in children with myocardial spines treated at our hospital from January 2017 to January 2020 were selected.Differences in clinical data and EGG characteristics between treatment-effective/-ineffective patients were analyzed,and children’s intellectual development before and after treatment evaluated using the Gesell Development Diagnostic Scale.RESULTS EEG showed that the discharge proportion in the awake and sleep periods was 66.04%,and the peak/peak discharge was mainly single-sided,accounting for 81.13%,while the discharge generalization accounted for 31.13%.There was no significant difference in any of these variables between sexes and ages(P>0.05).The proportion of patients with early onset(<5 years old)and seizure frequency>3 times/half a year was 40.00%and 60.00%,respectively;the incidence rate and seizure frequency in the younger age group(<5 years old)were significantly higher than those in the treatment-effective group(P<0.05),while the discharge index was significantly lower than that in the treatment-effective group(P<0.05).The discharge index was negatively correlated with fine motor skill and language development(r=-0.274 and-0.247,respectively;P<0.05),but not with the rest(P>0.05).Logistic regression analysis showed that low age onset(<5 years old)and seizure frequency were the factors affecting ineffective-treatment of benign epilepsy in children(odds ratio=11.304 and 5.784,respectively;P<0.05).The discharge index of the responsive group after treatment was significantly lower than that of the unresponsive group(P<0.05).However,there was no significant difference between groups after treatment in gross and fine motor skills,adaptability,language,and personal social development(P>0.05).CONCLUSION The EEG of children with benign epilepsy due to spinal wave in central time zone has characteristic changes,and the therapeutic effect is influenced by age of onset and attack frequency.展开更多
Background:Recent studies have shown a possible coexistence of absence seizures with other forms of epilepsy.The purpose of this study was to ascertain the possible contemporary or subsequent presence of childhood abs...Background:Recent studies have shown a possible coexistence of absence seizures with other forms of epilepsy.The purpose of this study was to ascertain the possible contemporary or subsequent presence of childhood absence epilepsy (CAE) and benign epilepsy with centro-temporal spikes (BECTS) in pediatric epileptic patients.Data sources:A PubMed systematic search indexed for MEDLINE,PubMed and EMBASE was undertaken to identify studies in children including articles written between 1996 and 2015.Retrospective studies,meta-analysis and case reports were included.The list of references of all the relevant articles was also studied.The date of our last search was December 2015.Results:Review of the literature revealed 19 cases,8 females and 11 males,reporting a consecutive or contemporary coexistence of CAE and BECTS within the same patients.Patient's age ranged between 4 and 12 years.Three out of 19 patients presented concomitant features of both syndromes,whereas 16 patients experienced the two syndromes at different times.Conclusions:BECTS and CAE may be pathophysiologically related,and the two epileptic phenotypes may indicate a neurobiological continuum.Further studies are needed to elucidate a probable genetic or functional link between partial and primarily generalized electro-clinical patterns in idiopathic childhood epilepsies.展开更多
Background:Benign epilepsy with centrotemporal spikes(BECTS)is the most common type of childhood idiopathic focal epilepsy.BECTS is associated with pervasive cognitive deficits and behavior problems.While seizures can...Background:Benign epilepsy with centrotemporal spikes(BECTS)is the most common type of childhood idiopathic focal epilepsy.BECTS is associated with pervasive cognitive deficits and behavior problems.While seizures can be easily controlled,it is crucial to select anti-epileptic drugs that do not impair cognition,do not cause psychosocial effects,and improve the quality of life.Previous studies showed effects of oxcarbazepine(OXC)monotherapy on the cognitive and psychosocial profiles of patients with BECTS.Here,we studied the effects of OXC monotherapy on the neuropsychologic profiles and quality of life in patients with BECTS in China.Methods:Thirty-one patients aged 6 to 12 years newly diagnosed with BECTS were recruited.A psychometric assessment was performed before and during the follow-up of OXC monotherapy with Cognitive Computerized Task Battery,Depression SelfRating Scale for children,Screen for Child Anxiety Related Emotional Disorders,and Quality of Life in Epilepsy-31(QOLIE-31).The results of the assessments were compared to explore the effect of OXC monotherapy in patients with BECTS.Results:Thirty children with BECTS completed the study.Five of ten cognitive test scores improved after treatment via OXC monotherapy,including visual tracing(F=14.480,P<0.001),paired associated learning(language)(F=6.292,P<0.001),paired associated learning(number)(F=9.721,P<0.05),word semantic(F=6.003,P<0.05),and simple subtraction(F=6.229,P<0.05).Of the neuropsychology data concerning the quality of life,statistically significant improvements were observed in emotion(F=4.946,P<0.05),QOLIE-social(F=5.912,P<0.05),and QOLIE-total(F=14.161,P<0.001).Conclusions:OXC is safe and does not impair neuropsychologic functions,with no obvious mood burden on children with BECTS.Most importantly,OXC has positive impacts on children’s perception of quality of life,especially in terms of happiness and life satisfaction.展开更多
We read with great interest the recent review of benign epilepsy with centro-temporal spikes (BECTS) and child-hood absence epilepsy (CAE) by Verrotti et al. (1)BECTS and CAE are the most common epilepsy syndromes in ...We read with great interest the recent review of benign epilepsy with centro-temporal spikes (BECTS) and child-hood absence epilepsy (CAE) by Verrotti et al. (1)BECTS and CAE are the most common epilepsy syndromes in childhood and share certain clinical features: similar age at onset, overall good prognosis, and genetic predispo-sition. Several studies have reported the coexistence of the two syndromes, and recently, Verrotti et al. analyzed 19 cases reported to have clinical features of CAE and BECTS. Among the total 19 cases, three cases had fea-tures of both syndromes contemporarily;three cases expe-rienced absence seizures initially followed by BECTS;and the other 13 cases experienced BECTS at onset and had absence seizures later.展开更多
文摘BACKGROUND Epilepsy is a syndrome characterized by transient,rigid,paroxysmal,and repetitive central nervous system dysfunction.Prevention,control,and improvement of cognitive and behavioral dysfunction are of great significance for improving the patients’intellectual development and quality of life.Electroencephalograms(EEG)can predict an accelerated decline in cognitive function.AIM To determine the clinical and EEG characteristics and treatment results of benign epilepsy in spiking children.METHODS A total of 106 cases of benign epilepsy in children with myocardial spines treated at our hospital from January 2017 to January 2020 were selected.Differences in clinical data and EGG characteristics between treatment-effective/-ineffective patients were analyzed,and children’s intellectual development before and after treatment evaluated using the Gesell Development Diagnostic Scale.RESULTS EEG showed that the discharge proportion in the awake and sleep periods was 66.04%,and the peak/peak discharge was mainly single-sided,accounting for 81.13%,while the discharge generalization accounted for 31.13%.There was no significant difference in any of these variables between sexes and ages(P>0.05).The proportion of patients with early onset(<5 years old)and seizure frequency>3 times/half a year was 40.00%and 60.00%,respectively;the incidence rate and seizure frequency in the younger age group(<5 years old)were significantly higher than those in the treatment-effective group(P<0.05),while the discharge index was significantly lower than that in the treatment-effective group(P<0.05).The discharge index was negatively correlated with fine motor skill and language development(r=-0.274 and-0.247,respectively;P<0.05),but not with the rest(P>0.05).Logistic regression analysis showed that low age onset(<5 years old)and seizure frequency were the factors affecting ineffective-treatment of benign epilepsy in children(odds ratio=11.304 and 5.784,respectively;P<0.05).The discharge index of the responsive group after treatment was significantly lower than that of the unresponsive group(P<0.05).However,there was no significant difference between groups after treatment in gross and fine motor skills,adaptability,language,and personal social development(P>0.05).CONCLUSION The EEG of children with benign epilepsy due to spinal wave in central time zone has characteristic changes,and the therapeutic effect is influenced by age of onset and attack frequency.
文摘Background:Recent studies have shown a possible coexistence of absence seizures with other forms of epilepsy.The purpose of this study was to ascertain the possible contemporary or subsequent presence of childhood absence epilepsy (CAE) and benign epilepsy with centro-temporal spikes (BECTS) in pediatric epileptic patients.Data sources:A PubMed systematic search indexed for MEDLINE,PubMed and EMBASE was undertaken to identify studies in children including articles written between 1996 and 2015.Retrospective studies,meta-analysis and case reports were included.The list of references of all the relevant articles was also studied.The date of our last search was December 2015.Results:Review of the literature revealed 19 cases,8 females and 11 males,reporting a consecutive or contemporary coexistence of CAE and BECTS within the same patients.Patient's age ranged between 4 and 12 years.Three out of 19 patients presented concomitant features of both syndromes,whereas 16 patients experienced the two syndromes at different times.Conclusions:BECTS and CAE may be pathophysiologically related,and the two epileptic phenotypes may indicate a neurobiological continuum.Further studies are needed to elucidate a probable genetic or functional link between partial and primarily generalized electro-clinical patterns in idiopathic childhood epilepsies.
基金This work was supported by the grants from the National Key Research and Development Program of China(Nos.2016YFC0905100 and 2016YFC1000504)the CAMS Innovation Fund for Medical Sciences(CIFMS)(No.2016-I2M-1-002)Beijing Municipal Science&Technology Commission(No.Z171100000417020).
文摘Background:Benign epilepsy with centrotemporal spikes(BECTS)is the most common type of childhood idiopathic focal epilepsy.BECTS is associated with pervasive cognitive deficits and behavior problems.While seizures can be easily controlled,it is crucial to select anti-epileptic drugs that do not impair cognition,do not cause psychosocial effects,and improve the quality of life.Previous studies showed effects of oxcarbazepine(OXC)monotherapy on the cognitive and psychosocial profiles of patients with BECTS.Here,we studied the effects of OXC monotherapy on the neuropsychologic profiles and quality of life in patients with BECTS in China.Methods:Thirty-one patients aged 6 to 12 years newly diagnosed with BECTS were recruited.A psychometric assessment was performed before and during the follow-up of OXC monotherapy with Cognitive Computerized Task Battery,Depression SelfRating Scale for children,Screen for Child Anxiety Related Emotional Disorders,and Quality of Life in Epilepsy-31(QOLIE-31).The results of the assessments were compared to explore the effect of OXC monotherapy in patients with BECTS.Results:Thirty children with BECTS completed the study.Five of ten cognitive test scores improved after treatment via OXC monotherapy,including visual tracing(F=14.480,P<0.001),paired associated learning(language)(F=6.292,P<0.001),paired associated learning(number)(F=9.721,P<0.05),word semantic(F=6.003,P<0.05),and simple subtraction(F=6.229,P<0.05).Of the neuropsychology data concerning the quality of life,statistically significant improvements were observed in emotion(F=4.946,P<0.05),QOLIE-social(F=5.912,P<0.05),and QOLIE-total(F=14.161,P<0.001).Conclusions:OXC is safe and does not impair neuropsychologic functions,with no obvious mood burden on children with BECTS.Most importantly,OXC has positive impacts on children’s perception of quality of life,especially in terms of happiness and life satisfaction.
文摘We read with great interest the recent review of benign epilepsy with centro-temporal spikes (BECTS) and child-hood absence epilepsy (CAE) by Verrotti et al. (1)BECTS and CAE are the most common epilepsy syndromes in childhood and share certain clinical features: similar age at onset, overall good prognosis, and genetic predispo-sition. Several studies have reported the coexistence of the two syndromes, and recently, Verrotti et al. analyzed 19 cases reported to have clinical features of CAE and BECTS. Among the total 19 cases, three cases had fea-tures of both syndromes contemporarily;three cases expe-rienced absence seizures initially followed by BECTS;and the other 13 cases experienced BECTS at onset and had absence seizures later.
