Symptomatic or cryptogenic partial epilepsy of childhood onset: Fourteen-year follow-up

C. Ákos Szabó, A. David Rothner, Prakash Kotagal, Gerald Erenberg, Dudley S. Dinner, Elaine Wyllie

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

This study reports on the seizure and psychosocial outcome of 29 patients with electroclinically well-defined childhood-onset symptomatogenic or cryptogenic partial epilepsy with complex partial seizures who were followed prospectively over 14 years. Many were refractory at the time of enrollment. At 14-year follow-up, we acquired information on seizure type and frequency, psychiatric history, substance abuse, criminal activity, in addition to educational, vocational, and marital status through chart reviews and/or structured telephone interviews. Sixteen patients were only treated medically. They were divided by their following responses to medications: eight patients with less than one seizure per month were in the medically responsive group and eight patients with at least one seizure per month constituted the medically refractory group. Thirteen patients underwent focal resection for medically refractory epilepsy. Medically refractory patients displayed worse educational, vocational, social, and behavioral outcomes than medically responsive patients. Behavioral abnormalities persisted or evolved in five medically refractory patients when they became seizure free. Other studies have indicated that patients with medically refractory complex partial seizures have poor psychosocial outcomes. Although behavioral problems can occur even when seizures are well controlled, their early detection and treatment may be essential to the improvement of psychosocial outcomes.

Original languageEnglish (US)
Pages (from-to)264-269
Number of pages6
JournalPediatric Neurology
Volume24
Issue number4
DOIs
Publication statusPublished - Apr 1 2001

    Fingerprint

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Neurology
  • Developmental Neuroscience
  • Clinical Neurology

Cite this

Ákos Szabó, C., Rothner, A. D., Kotagal, P., Erenberg, G., Dinner, D. S., & Wyllie, E. (2001). Symptomatic or cryptogenic partial epilepsy of childhood onset: Fourteen-year follow-up. Pediatric Neurology, 24(4), 264-269. https://doi.org/10.1016/S0887-8994(01)00246-6