Clinical analysis of 322 cases of non-epileptic cerebral palsy

ZHU Deng-Na, WANG Jun, JIA Yan-Jie, NIU Guo-Hui, SUN Li, XIONG Hua-Chun, ZHAI Hong-Yin, CHEN Hai, LI Lin-Chen

Chinese Journal of Contemporary Pediatrics ›› 2010, Vol. 12 ›› Issue (12) : 933-935.

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Chinese Journal of Contemporary Pediatrics ›› 2010, Vol. 12 ›› Issue (12) : 933-935.
CLINICAL RESEARCH

Clinical analysis of 322 cases of non-epileptic cerebral palsy

  • ZHU Deng-Na, WANG Jun, JIA Yan-Jie, NIU Guo-Hui, SUN Li, XIONG Hua-Chun, ZHAI Hong-Yin, CHEN Hai, LI Lin-Chen
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Abstract

OBJECTIVE: To study the clinical features of non-epileptic seizures associated with cerebral palsy (CP) in children. METHODS: A total of 1 198 children with CP (age: 9 months to 6 years) were enrolled. The children with paroxysmal events were monitored by 24 hrs video-EEG (VEEG) to make sure the seizures were epileptic or non-epileptic. The symptoms, age, CP types and EEG features were observed in children with non-epileptic CP. RESULTS: Five hundred and seventy-eight children (48.24%) presented paroxysmal events. The seizures were epileptic in 231 children (19.28%) and non-epileptic in 322 cases (26.88%). In the 322 cases of non-epileptic CP, the paroxysmal events were of various kinds, including non-epileptic seizure tonic, seizure shake head, shrug shoulder or head hypsokinesis, cry or scream, panic attacks, sleep myoclonic and stereotyped movement. One hundred and fifty-eight (49.1%) out of the 322 children demonstrated nonspecific EEG abnormalities. One hundred and eleven children (34.5%) were misdiagnosed as epilepsy in primary hospitals. The CP children less than one year old showed higher frequency of non-epileptic seizures than the age groups over 1 year and 3 to 6 years. The frequency of nonepileptic seizures was the highest in children with spastic CP (168 cases, 52.2%), followed by dyskinetic CP (69 cases, 21.4%) and mixed type CP (65 cases, 20.2%). CONCLUSIONS: The paroxysmal events in children with CP partially are non-epileptic seizures and it is important to differentiate non-epileptic from epileptic seizures. The frequencies of non-epileptic seizures may be associated with a child’s age and CP type.[Chin J Contemp Pediatr, 2010, 12 (12):933-935]

Key words

Cerebral palsy / Non-epileptic seizure / Epilepsy / Child

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ZHU Deng-Na, WANG Jun, JIA Yan-Jie, NIU Guo-Hui, SUN Li, XIONG Hua-Chun, ZHAI Hong-Yin, CHEN Hai, LI Lin-Chen. Clinical analysis of 322 cases of non-epileptic cerebral palsy[J]. Chinese Journal of Contemporary Pediatrics. 2010, 12(12): 933-935

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