Document Detail


Long term changes in patients with hypsarrhythmia-infantile spasms: 505 patients, up to 43 years follow-up.
MedLine Citation:
PMID:  9013045     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study involved 505 patients with the EEG pattern of hypsarrhythmia (H) and clinical attacks of infantile spasms (IS) studied over a 51 year period from 1945 until 1996. The total number of EEGs was 1300 and changes in the EEG and type of clinical seizure were followed for up to 43 yrs in a given patient. Although H and IS usually occur together in a given patient, 15% showed a disparity between the electrographic and clinical pattern, usually within a 6-12 mo period. The duration of H was usually < 1 mo but lasted as long as 7 yrs. The duration was dependent in part on the onset age and a very early onset of < 2 mo was associated with a short-lasting H and generally a good prognosis, as was an onset of 8-12 mo. Slightly more than half of these patients had an onset age of > 1 yr, likely in part related to a relatively large number studied before the introduction of the measles, mumps, and rubella vaccine. The next pattern after H was usually around 3 yrs of age, often focal discharges on the occipital or temporal areas or bilateral spike and wave complexes. The major changes in the EEG over time were the progressive increase in bilateral spike and wave complexes and temporal lobe discharges, in addition to an increase in other focal discharges at 6-9 yrs of age. Slow waves on the temporal areas and diffuse slowing became prominent in adulthood. The types of clinical attacks that became prominent in adulthood were generalized tonic-clonic and complex partial seizures. Other types of seizures most often occurred between the late teens and early 20's with absence attacks seen especially at 8-10 yrs of age.
Authors:
J R Hughes; I Rechitsky; Y Daaboul
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical EEG (electroencephalography)     Volume:  28     ISSN:  0009-9155     ISO Abbreviation:  Clin Electroencephalogr     Publication Date:  1997 Jan 
Date Detail:
Created Date:  1997-04-15     Completed Date:  1997-04-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0236454     Medline TA:  Clin Electroencephalogr     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1-15     Citation Subset:  IM    
Affiliation:
Epilepsy Clinic, University of Illinois Medical Center, Chicago 60612, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age of Onset
Child
Child, Preschool
Electroencephalography*
Follow-Up Studies
Humans
Infant
Spasms, Infantile / physiopathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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