EPILEPSY IN CHILDREN WITH STROKE

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Abstract

The frequency of detection of stroke in children has increased over the last 25 years (from 1.3 to 13/100 000). The children identified more than 100 risk factors for stroke, but more than a third of cases the cause is not identified. We have analyzed the incidence of epilepsy in children with stroke and risk factors to evaluate the possibility of occurrence of epileptic seizures. It handled 280 case histories of children who had a stroke in the period from 2013 to August 2015 (excluding children with perinatal stroke and bleeding with severe brain injuries) treated at the Morozov Children'sClinicalHospital. All children held in the dynamics of EEG, psychological testing, repeat MRI. The diagnosis of epilepsy had 24 children (8.6%) of the treated patient records. Ischemic stroke was diagnosed in 62%, hemorrhagic – 38%. In HS, prevailed children aged up to 3 years, with ischemic from 6 to 14 years. The most common attacks made their debut from 12 to 24 months after a stroke, some earlier occurrence of attacks observed in hemorrhagic stroke, from 1 month to 12 months (77%). Only 3/24 (12.5%) children seizures were observed in the acute phase stroke. In 71% was a combination of several types of attacks. Two of the children diagnosed with idiopathic forms epilepsy – childhood absence and juvenile myoclonic. Evaluation of the outcome of stroke scale PSOM-SNE and pathopsychological evaluation by the Achenbach revealed more severe neuropsychological problems in children with stroke with epileptic seizures than those without epilepsy. 


About the Authors

I. O. Shchederkina
Morozov Children’s Clinical Hospital, Moscow; Pirogov Russian National Research Medical University, Moscow
Russian Federation

Shсhederkina Inna Olegovna – PhD, neurologist-epileptologist, Morozov Children’s Clinical Hospital, docent, Neurology, Neurosurgery and Medical Genetics Depertment, Pirogov Russian National Research Medical University.

Address: 4 Dobrininsky per., 1/9, Moscow, Russia, 119037.



N. N. Zavadenko
Morozov Children’s Clinical Hospital, Moscow; Pirogov Russian National Research Medical University, Moscow
Russian Federation

Zavadenko Nikolaj Nikolaevich – MD, neurologist, Professor, Head of Department of Neurology, Neurosurgery and Medical Genetics, Pirogov Russian National Research Medical University.

Address: ul. Ostrovityanova, 1, Moscow, Russia, 117997.



I. E. Koltunov
Morozov Children’s Clinical Hospital, Moscow
Russian Federation

Koltunov Igor EfimovichMD, Professor, Honored Doctor of Russia, Head of Morozov Children’s Clinical Hospital.

Address: 4 Dobrininsky per., 1/9, Moscow, Russia, 119037.



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Supplementary files

For citation: Shchederkina I.O., Zavadenko N.N., Koltunov I.E. EPILEPSY IN CHILDREN WITH STROKE. Epilepsia and paroxyzmal conditions. 2015;7(4):66-71.

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