Journal of Peking University(Health Sciences) ›› 2014, Vol. 46 ›› Issue (2): 315-318.

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Long-term outcome and related factors of epileptic seizures in children

TAO Zhe1,2*, YI Wen-xia1*, HAN Ying1, FU Na1, BAO Xin-hua1, ZHANG Yue-hua1, LIU Jin1, QIN Jiong1△   

  1. (1. Deparment of Pediatrics, Peking University First Hospital, Beijing 100034, China; 2. Deparment of Pediatric Neurology, Dalian Children’s Hospital, Liaoning Dalian 116012, China)
  • Online:2014-04-18 Published:2014-04-18

Abstract: Objective:To analyze the longterm outcome of seizures, and to explore the effects of related factors, including the age at onset, types of epileptic syndromes, and etiological factors, etc. Methods:The clinical data were retrospectively surveyed from 265 children with regular follow-ups for over 1 year at Peking University First Hospital (Jan. 2003 to Dec. 2006). The seizure-free rate was calculated as an at least one-year non-occurrence of seizures. The long-term outcome of seizures was analyzed in association with factors including the age at onset, types of epileptic syndromes, and etiology. Results:(1) Seizure types were clarified in all the cases, with combined types of seizures in 17. Epileptic syndromes were identified in 163/265 cases (61.5%). With regular antiepileptic drug therapy, 57.9% children with epilepsy could be seizure-free. (2) Seizure-free was demonstrated in 142/265 cases with a seizure-free rate of 53.6% in this group. (3) The age at onset was youngest in the non-efficacy group. (4) The seizure-free rate was different by syndrome types of epilepsies, with a higher seizure-free rate in idiopathic generalized epilepsy (72.4%) and benign epilepsy in children with centro-temporal spikes (65.5%), whereas a lowest rate (21.7%) in infantile spasms. (5) A significant difference of seizure-free rates was revealed in different etiological groups. Children with idiopathic epilepsy achieved higher seizure-free rate (69.2%) than those with symptomatic and cryptogenic epilepsy (45.4%). Conclusion:The epilepsy children with regular antiepileptic drug therapy had generally satisfactory outcome of seizures, with over half cases of seizure-free. The prognosis was demonstrated to be closely related with the etiological factors, syndrome types and age at onset.

Key words: Epilepsy, Prognosis, Child

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