A Clinical and Electroencephalographic Study of Myoclonic Epilepsies in Infancy and Early Childhood Part 1. On the Classification Key Words: myoclonic

Similar documents
Pure Petit Mal (Absence) Clinical and Electroencephalographic - Studies- Tohru SEKI, M. D., Itoko MORI, M. D., Setuko SUGIURA, M. D., Nobuko INADA, M.

日本職業・災害医学会会誌第51巻第1号

untitled


Fig. 1 Clinical findings and extent of inflammation area in female urethrocystitis Fig. 2 Classification and distribution of female patients with blad


Juntendo Medical Journal

The Japanese Journal of Psychology 1989, Vol. 60, No. 4, Changes of body sensation through muscular relaxation: Using the method of measuring


56 pp , 2005 * ******* *** ** CA CAMA

Therapy for Asthenopia in Cases of Convergence Insufficiency Hiroko TAKASAKI, C.O.J., Nobuko INAGAMI, C.O.J., and Kayoko TAKENAWA, C.O.J.. Orthoptic c

Core Ethics Vol. : - NICU : : - A B C D

Title 外傷性脊髄損傷患者の泌尿器科学的研究第 3 報 : 上部尿路のレ線学的研究並びに腎機能について Author(s) 伊藤, 順勉 Citation 泌尿器科紀要 (1965), 11(4): Issue Date URL

A Nutritional Study of Anemia in Pregnancy Hematologic Characteristics in Pregnancy (Part 1) Keizo Shiraki, Fumiko Hisaoka Department of Nutrition, Sc


Studies of Foot Form for Footwear Design (Part 9) : Characteristics of the Foot Form of Young and Elder Women Based on their Sizes of Ball Joint Girth

,,.,,.,..,.,,,.,, Aldous,.,,.,,.,,, NPO,,.,,,,,,.,,,,.,,,,..,,,,.,

Table 1 Characteristics of the study participants in Imari municipal hospital

Fig. 1 Trends of TB incidence rates for all forms and smear-positive pulmonary TB in Kawasaki City and Japan. Incidence=newly notified cases of all fo

Key words: Antibodies to Leptospira, Tokyo, Uveitis

Table 1. Numbers of Cancerous Pleurisy Cases According to Primary Site Table 2. Histological Type of Lung Carcinoma with Cancerous Pleurisy at Autopsy

49-4 ™ñ„¾ Œ]„”†i4†j


udc-2.dvi


Table 2 Cases of Nail Deformity Associated with upward Distortion of Distal Soft Tissue No. Age Sex Affected RegionsDuration Results M Both grea

<4D F736F F D2094AD92428CA48B CB B4C92C789C1816A462E646F63>


日本消化器外科学会雑誌第25巻第11号

) 5 Lawton QOL 4 4 QOL Lawton 4) Philadelphia Geriatric Center Affect Rating ScaleARS ARS QOL 5) HDS R

pp Dimensional Change Card Sort ****** ** Zelazo, P. D., Carter, A., Reznick, J. S. & Frye, D Zelaz


Table 1 Distribution,by type and classroom,of group B hemolytic streptococcal strains isolated from throat of pupils in A elementary school in Nishime

Key words : Adverse reactions, Egg allergy, IgG antibody, Mills allergy, FAST

Primitive reflexes and motor development By T. Akiyama, N. Itoh, R. Suzuki & Y. Kawaguchi Department of Orthopaedic Surgery, Nagasaki University Schoo

Key words : 7432-S, Oral cephem, Urinary tract infection Fig. 1. Chemical structure of 7432-S.

Title 泌尿器科領域に於ける17-Ketosteroidの研究 17-Ketosteroidの臨床的研究 第 III 篇 : 尿 Author(s) 卜部, 敏入 Citation 泌尿器科紀要 (1958), 4(1): 3-31 Issue Date URL

早期教育の効果に関する調査(II)-親子の意識と学習状況の分析を中心に-

Unknown


研究論集Vol.16-No.2.indb

説明書82:妊娠と抗てんかん薬★★.PPT

Elmore & Pohlmann Greenwood & Ramagli a b c a b c

第 2 部 各論 4. 治療 (1) 発熱時のジアゼパム坐薬


Clinical Study of Effect of Intrathecal Use of Alpha-tocopherol on Chronic Vasospasm Hirotoshi Sano, Motoi Shoda, Youko Kato, Kazuhiro Katada, Youichi

36:378 第 38 回日本脳卒中学会講演シンポジウム 原著 36: , 要旨 TIA 2 t-pa Key words: stroke registry, stroke subtype, onset-visi

220 28;29) 30 35) 26;27) % 8.0% 9 36) 8) 14) 37) O O 13 2 E S % % 2 6 1fl 2fl 3fl 3 4

Adult Attachment Projective AAP PARS PARS PARS PARS Table

untitled

untitled

日本人の子育て観-JGSS-2008 データに見る社会の育児能力に対する評価-


THE JAPANESE JOURNAL OF PERSONALITY 2007, Vol. 15 No. 2, 217–227

p _08森.qxd

Relationship between Men's Commuting Clothes and their Awareness toward Work Setsuko Yajiri*, Tomoko Takaoka**, Machiko Morita*** and Shigeo Kobayashi

Japanese Journal of Applied Psychology

Kyoto University * Filipino Students in Japan and International Relations in the 1930s: An Aspect of Soft Power Policies in Imperial Japan

Fig. 1 Chemical structure of TE-031 Code number: TE-031 Chemical name: (-) (3R, 4S, 5S, 6R, 7R, 9R, 11R, 12R, 13S, 14R)-4-[(2, 6-dideoxy-3-C-methyl-3-

Validation of a Food Frequency Questionnaire Based on Food Groups for Estimating Individual Nutrient Intake Keiko Takahashi *', Yukio Yoshimura *', Ta

Web Stamps 96 KJ Stamps Web Vol 8, No 1, 2004

九州大学学術情報リポジトリ Kyushu University Institutional Repository 看護師の勤務体制による睡眠実態についての調査 岩下, 智香九州大学医学部保健学科看護学専攻 出版情報 : 九州大学医学部保健学

日本消化器外科学会雑誌第30巻第3号

On the Wireless Beam of Short Electric Waves. (VII) (A New Electric Wave Projector.) By S. UDA, Member (Tohoku Imperial University.) Abstract. A new e



I 1) 2) 51 (1976) 6.9 ha 9 (1934) 2km 15, (1955) 6 (1620)

Key words: bacterial meningitis, Haemophilus influenzae type b, Streptococcus pneumoniae, rapid diagnosis, childhood

, PDD ASD p.,.,..,..,.,..,.,..,.,.,.,, 146

49148

..,,...,..,...,,.,....,,,.,.,,.,.,,,.,.,.,.,,.,,,.,,,,.,,, Becker., Becker,,,,,, Becker,.,,,,.,,.,.,,


The Journal of the Japan Academy of Nursing Administration and Policies Vol 7, No 2, pp 19 _ 30, 2004 Survey on Counseling Services Performed by Nursi

A 18 B 6 AB p >0.05 A1A2B1B2 A3B3 t p > ο =0 1 =12 =2 0 ο14 10=0ο= ο144 0 ο4041ο64 65ο144 WAIS R Wilcoxon

mm mm , ,000 Fig. 1 Locality map of the investigation area NE SW Fi


Physical and Psychological Effects of Stressors in Female College Students Reizou Mita*1, Konosuke Tomabechi*1, Isao Yamaguchi*1, Naoko Soeno*1, Shuhe

CHEMOTHERAPY Fig. 1 Body weight changes of pregnant mice treated orally with AM- 715 Day of sestation

Core Ethics Vol. a

Core Ethics Vol. Vol. Vol. Vol. KTK

semen quality or those without WBC in semen. In the patients with azoospermia and normal FSH levels (normogonadotropic azzospermia), the antibody (IgG


過去26年間のスギ花粉飛散パターンのクラスター分析

Rinku General Medical Center


I



The Japanese Journal of Psychology 1990, Vol. 61, No. 3, The effects of a recipient's openness and conveyance to a third party of the self-dis

0701073‐立命‐社会システム15号/15‐9-招待-横井

Ł\”ƒ/flwŁš6mm

名称未設定-1


) ,

本文/宮川充司先生


スポーツ選手における日常的トレーニングが味覚に及ぼす影響について

06’ÓŠ¹/ŒØŒì

日本消化器外科学会雑誌第24巻第12号

Arthroscopic Subacromial Decompression for Impingement Syndrome by E. Shimozaki, K. Kitaoka, T. Matsumoto, H. Itokawa, T. Kobayashi and K. Tomita Depa

Transcription:

A Clinical and Electroencephalographic Study of Myoclonic Epilepsies in Infancy and Early Childhood Part 1. On the Classification Key Words: myoclonic epilepsy, classification, infancy and early childhood, prognosis, syndrome. Hirokazu Oguni, Yukio Fukuyama Department of Pediatrics, Tokyo Women's Medical College

Fig.1 Typical examples of generalized bilateral synchronous epileptic discharges recorded during sleep in patients with myoclonic seizures Type 1=Generalized bilateral synchrc nous multiple spikes and waves complexes Type 2=Generalized bilateral synchronous multiple sharp and slow waves complexes Type 3=Generalized burst of irregular multiple spikes associated with wave

Table 1 Subclassification of 149 patients with myoclonic seizures according to the clinial and electroencephalographic features The remaining 12 patients could not be classified. Abbreviations are as follows; Genetics=% of patients with positive family history of febrile convulsion or epilepsy BME=Benign myoclonic epilepsy in infants (Dravet, C) CMC=Cryptogenic myoclonic epilepsy of childhood (Aicardi, J) MEC=Myoclonic epilepsy of childhood (Jeavons, PM) SME=Severe myoclonic epilepsy in infants (Dravet, C) MAE=Myoclonic astatic epilepsy of early childhood (Doose, H)

lepsy of childhood (Aicardi)1 `3), benign myoclonic epilepsy in infants (Dravet)9), myoclonic astatic epilepsy of early childhood (Doose)6,7) Ì

severe myoclonic epilepsy in infants (Dravet10)) epilepsy with non-progressive encephalopathy jerks, myoclonic petit-mal, cryptogenicc myoclonic epilepsy of childhood, generalized epilepsy

mary generalized myoclonic astatic petit mal, myoclonic astatic epilepsy of early childhood

1) Aicardi, J. (1986) Epilepsy in children. International Review of Child Neurology Series, 39-65, Raven Press, Nw York. 2) Aicardi, J. (1986) Myoclonic epilepsies of in- and childhood. In: Advance fancy in Neurol- ogy (Fahn, S., Marsden, D., Van Woert, M. eds.) Vol 43, 11-31, Raven Press, New York. 3) Aicardi, J., Chevrie, J.J. (1971) Myoclonic epilepsies of childhood. Neuropediatrie 3, 177-190. 4) Aicardi, J. (1979) Course and prognosis of certain childhood epilepsy with predominantly myoclonic seizures. In: Advance in epileptology: The 10 th Epilepsy International Symposium (Wada, J.A., Penry, J.K. eds.) 159-163, Raven Press, New York. 5) Dalla Bernardina, B., Colomaria, V., Capcvilla, G., Bondavalli, S. (1982) Nosological Classification of epilepsies in the first three years of life. In: Epilepsy: An update on research and therapy (Nistico, G., Di Perri R., Meinardi, H. eds.) 165-183, Alan Liss, New York. 6) Doose, H., Gerken, H., Leonhardt, R., Volzke, E., Volz, C. (1970) Centrencephalic myoclonic- petit mal. Neuropediatrie astatic 2, 59-78. 7) Doose, H. (1985) Myoclonic astatic epilepsy of early childhood. In: Epileptic syndromes in infancy, childhood and adolescence (Roger, J., Dravet, C., Bureau, M., Dreifuss, F.E., Wolf, P. eds.) 58-67, John Libbey, London. 8) Doose, H. (1983) Nonconvulsive status epilept-

icus in childhood: clinical aspect and classification. In: Advance in Neurology, Status epilepticus (Delgado-Escueta, A.V., Wasterlain, C.G., Treiman, D.M., Porter, R.J. eds.) Vol 34, 83-92, Raven Press, New York. 9) Dravet, C., Bureau, M., Roger, J. (1985) Benign myoclonic epilepsy in infants. In: Epileptic syndromes in infancy, childhood and adolescence (Roger, J., Dravet, C., Bureau, M., Dreifuss, F.E., Wolf, P. eds.) 51-57, John Libbey, London. 10) Dravet, C., Bureau, M., Roger, J. (1985) Severe myoclonic epilepsy in infants. In: Epileptic syndromes in infancy, childhood and adolescence (Roger, J., Dravet, C., Bureau, M., Dreifuss, F.E., Wolf, P. eds.) 58-67, John Libbey, London. 11) Dravet, C., Roger, J., Bureau, M., Dalla Bernardina, B. (1982) Myoclonic epilepsies in childhood. In: Advance in epileptology: The 13th Epilepsy International Symposium (Akimoto, H., Kazamatsuri, H., Seino, M., Ward, A.A. eds.) 135-140, Raven Press, New York. 12) Harper, J.R. (1968) True myoclonic epilepsy in childhood. Arch Dis Childh 43, 28-35. 13) Jeavons, P.M. (1977) Nosological problem of myoclonic epilepsies in childhood and adolescence. Dev Med Child Neurol 19, 3-8. 14) Jeavons, P.M. (1982) Myoclonic epilepsies. Therapy and prognosis. In: Advance in epileptology: The 13th Epilepsy International Symposium (Akimoto, H., Kazamatsuri, H., Seino, M., Ward, A.A. eds.) 141-144, Raven New York. Press, 15) Seki, T., Yamawaki, H., Suzuki, N. (1980) Prognosis of myoclonic seizures in childhood epilepsy: A follcw-up study of more than three years. Folia Psychiatr Neurol Jpn 34, 348-349. Summary A Clinical and Electroencephalographic Study of Myoclonic Epilepsies in Infancy and Early Childhood Part 1. On the Classification Hirokazu Oguni, Yukio Fukuyama Clinical and electroencephalographic features of myoclonic seizures (MS) were studied in 149 patients. On the basis of early development history, age at onset of epilepsy, combination of tonic spasm (TS), and an existence of generalized bilateral synchronous slow spike and wave burst (GSSW) or multifocal spikes (MFS) in interictal EEG, the patients could be placed into 5 groups: Group A (60 cases): Normal prior development to onset of epilepsy, absence of TS, GSSW and MFS. This group showed a high incidence of either febrile convulsions or epilepsy in the family history(fh), and MS being predominant seizure type. Prognosis for seizure control and mental outcome ranged from fair to good. Group B (18 cases): Normal prior development, presence of TS, GSSW. Seizure and mental outcome was poor. Group C (13 cases): Normal prior development, absence of TS, GSSW, and the combination of MFS and the age of onset less than 1 year. This group also exhibited a high incidence of FH and multiple seizure types, easily precipitated by fever. Prognosis was very poor. Group D (17 cases): Delayed development with gross neurological abnormalities often associated cerebral palsy. Group E (29 cases): Delayed development before onset of seizures and history of West syndrome without gross neurological abnormalities in all patients. The remaining 12 patients could not be classified. J. Jpn. Epil. Soc. 1989; 7: 67-76