Incidence of Epilepsy in Children: A Follow‐up Study Three Years After the First Seizure

作者：SIGFRID BLOM, J. Heijbel, P. G. Bergfors · 发表于：Epilepsia · 年份：1978 · DOI：10.1111/j.1528-1157.1978.tb04500.x · 被引用次数：132 · 研究领域：Epilepsy research and treatment、Neonatal and fetal brain pathology、Neonatal Respiratory Health Research

Summary A prospective epidemiological study of the incidence of epilepsy was performed in a Swedish county. The population studied during the incidence period consisted of 52,252 children âged 0–15 years. Seventy‐four children who had had their first seizure during the period February 1, 1973‐January 31, 1974 were reexamined 3 years later. Forty‐three children were classified as having epilepsy at the follow‐up, which gives an incidence of 82/100,000. The most frequent types of epilepsy found were: primary generalized epilepsy, 12/43 (27.9%); partial epilepsies, 11/43 (25.6%); and benign epilepsy of childhood with cen‐trotemporal discharges, 11/43 (25.6%). The prognostic significance of the initial EEG findings in the group with primary generalized epilepsy was low: no differences were found between the number of children who had further seizures and the number of children who had one seizure only. On the basis of clinical and EEG findings some groups tended to run a greater risk of developing recurrent seizures than others. These risk groups were children with perinatal complications or cerebral malformations and psychomotor retardation, children with partial seizures, children with absences and 3/sec spike‐and‐wave discharges, and children with benign epilepsy of childhood. RÉSUMÉ Une étude épidémiologique prospective sur l'incidence de l'épilepsie a été effectude dans un comte suódois. La population etudide durant la periode d'incidence correspondait a 52,252 enfants âgés ...