脑性瘫痪合并癫痫25例临床分析

目的总结脑性瘫痪合并癫痫的临床特征及治疗转归。方法对本院儿科6年收治的276例癫痫患儿中的25例脑性瘫痪进行回顾性分析。结果全面发作13例,局灶性发作12例,全部为痉挛性脑性瘫痪,其中8例出现过癫痫持续状态,15例表现智力不足。CT或MRI异常率为91.3%(21/23);10例联合用药,结果发作控制3年以上已停药8例,其余17例正在治疗中。结论脑性瘫痪合并癫痫,主要表现为偏瘫,其次为双瘫,都为继发癫痫,可出现各种类型癫痫发作;脑部CT或MRI检查有利于明确病因和预后;治疗中控制癫痫发作与脑性瘫痪的功能训练具有同等重要意义。

Clinical Analysis of 25 Children with Epilepsy plus Cerebral Palsy

Objective To summarize the chinical features and therapeutic effect on epilepsy plus cerebral palsy.Methods Clinical data of 25 children with epilepsy plus cerebral palsy were reviewed. They were among 276 children with epilepsy diagnosed and treated in the hosptal nearly the latest six years.Results Of the 25 children with spastic type, 13 ones were diagnosed as general seizure, 12 as local seizure, 8 as status epilepticus and 15 as mental retardation. The abnormal rate of CT or MRI was 91.3% (21/23). Fifteen children were treated with single drug therapy, 10 received combined drugs. Eight of them were clinically free of seizure for over three years. The other 17 chlidren were being treated.Conclusion The most common feature of these cases is hemiplegia, and then spastic diplegia is the second common. They are all secondary to epilepsy. They may suffer from multiple seizure types. CT or MRI examination could help to define their causes and prognoses. The control of the seizure is important as well as functional training for children with cerbral palsy.