[Epilepsy beginning in the neonatal period and early infancy]
- PMID: 15284967
[Epilepsy beginning in the neonatal period and early infancy]
Abstract
Introduction: In this study we analyse several epileptic syndromes that begin in the neonatal period or early infancy, up to two years of age, and we also define their clinical, neurophysiological and progressive aspects as well as their differential diagnoses. Both neonatal and febrile convulsions are excluded.
Development: The different syndromes are classified according to the predominant type of seizures, which is the one that identifies them, although it is not the only type of seizure presented. In line with this reasoning, the syndromes were divided into four main groups: 1. Epileptic spasms: infantile spasms (West's syndrome), periodic spasms as described by Gobbi and bouts of epileptic seizures without hypsarrhythmia. 2. Tonic seizures: Lennox-Gastaut syndrome. 3. Myoclonias: benign myoclonic epilepsy in infancy, Dravet's severe myoclonic epilepsy, myoclonic-astatic epilepsy and a myoclonic state in non-progressive encephalopathies; and 4. Partial seizures: non-idiopathic location-related epilepsies, malign epilepsy with migratory partial seizures and benign infantile familial and non-familial seizures.
Conclusions: Thus, it will be possible to establish a plan of studies, differential diagnoses and a rational therapeutic approach depending on the clinical manifestations, while at the same even enabling us to distinguish between the idiopathic, cryptogenic and symptomatic forms.
Similar articles
-
Benign myoclonic epilepsy of infancy: electroclinical symptomatology and differential diagnosis from the other types of generalized epilepsy of infancy.Epilepsy Res Suppl. 1992;6:131-5. Epilepsy Res Suppl. 1992. PMID: 1418473 Review.
-
[Epilepsies during the first year of life].Rev Neurol. 1997 Oct;25(146):1521-4. Rev Neurol. 1997. PMID: 9462971 Spanish.
-
[Myoclonus and epilepsies in children].Rev Neurol (Paris). 1991;147(12):782-97. Rev Neurol (Paris). 1991. PMID: 1780607 Review. French.
-
Malignant epileptic encephalopathies in children.Baillieres Clin Neurol. 1996 Dec;5(4):765-81. Baillieres Clin Neurol. 1996. PMID: 9068880 Review.
-
[Severe myoclonic epilepsy in infancy (Dravet's syndrome). Its nosological characteristics and therapeutic aspects].Rev Neurol. 2003 Jul 1-15;37(1):64-8. Rev Neurol. 2003. PMID: 12861512 Spanish.