Pediatria pre prax 5/2004
Věkově vázané epileptické syndromy u dětí
AGE RELATED EPILEPTIC SYNDROME IN CHILDREN The knowledge of problems concerning epilepsy in children is essential for a paediatrician due to both large frequency of epileptic and non-epileptic convulsions and semiologic and prognostic diversity of age related epileptic syndrome. The incidence of chronic epilepsy in adults is about 0,7 %, however in childhood every tenth child experiences situation with a characteristics of epileptic convulsions – four per cent out of this are febrile convulsions, two 2 % are different forms of epileptic seizures (about a half then proceeds into the chronic epilepsy) and the other per cents are different forms of seizures resembling or imitating epilepsy – so called non-epileptic attacks of different aetiologies. Whereas rather problems of symptomatic attacks caused mostly by focal lesions of the brain (haemorrhage, injuries, tumours, inflammations) dominate in adults, in children predominate so called idiopathic congenital epileptic syndromes, which are connected to a specific age period and a prognosis dependent from a genetic cause. Key words: epileptic syndrome, idiopathic epilepsy, non-epileptic attaks, epileptic encefalopathy.
