Last modified: 2018-09-09
Abstract
Objectives: Identifying features of epilepsy in children with cerebral palsy and optimization of diagnostics based on clinical electroencephalographic studies.
Methods: A total of 70 patients under 17 years with various forms of cerebral palsy and epilepsy, who were in the neurological department of Tashkent Medical Academy Hospital. All patients underwent a clinical study, electroencephalography, including video-EEG monitoring, computed tomography (CT) or magnetic resonance imaging (MRI).
Results: The group of children (70 patients) with cerebral palsy and epilepsy of all children with epilepsy accounted for 7.3%. The most common epilepsy in children with cerebral palsy was detected in age from 9 months to 3 years - 31.4% (22 children). At the age of 5 to 7 years it turned 22.9% (16), from 7 to 10 years - 20% (14), from 10 to 15 years - 14.2% (10 children) and teenagers from 14 to 17 years - 11.5% (8). With a little epilepsy prevalence was recorded in boys with cerebral palsy - 50.8%. Among all patients with cerebral palsy revealed a high incidence of epilepsy with spastic forms (double hemiplegia, spastic diplegia) to 69.7%. In children with hemiplegia and found 18.8% with other forms of cerebral palsy (atonic-astatic, hyperkinetic, mixed) - 11.5%.
Conclusions: Diagnostics optimization taking into account features of epilepsy in children with cerebral palsy has led to the achievement of rapid detection of seizures in 72.5% of patients, which made it possible to provide the rehabilitative treatment of children with cerebral palsy.