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 SM ISO690:2012FEGHIU, Ludmila, HADJIU, Svetlana, CĂLCÎI, Cornelia, SPRINCEAN, Mariana, GROPPA, Stanislav, CUZNEȚ, Ludmila. Spasmele epileptice la copii: aspecte clinicoelectroencefalografice. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 545. |
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| Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
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Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Background. Epileptic spasms (ES) are common in West syndrome (WS), a devastating encephalopathy, common in children up to 2 years, of various etiologies, such as: structural disorders of the brain and chromosomes, metabolic diseases, sometimes - unknown causes. The clinical-electroencephalographic examination Objective of the study. The aim of this study is to recognize the clinicalelectroencephalographic manifestations in ES at early stages, to help the specialists involved in the early detection of the disease. Material and Method. Retrospective study on a group of 19 children with ES, aged up to 2 years, distributed as follows: 1-3 months (4 cases); 3-6 months (7); 6-12 months (5); > 1 year (3 cases), examined based on the anamnesis and video recordings. The clinical manifestations and the characteristics of the electroencephalographic (EEG) pathways were evaluated and discussed. Results. The diagnosis of ES was based on the presence of ES (89.5%), their repetitive nature (79%), the preferential appearance on waking (68.4%). ES at onset: spasm of the eyelids (15.8%) or facial muscles (10.5%); neck muscle strains (21%); trunk tension (21%); limb spasms - in flexion (15.8%), in extension (10.5%), mixed (5.4%); isolated spasms (57.9%), symmetrical (26.3%), asymmetric (15.8%). Atypical ES - common in infants (79%).EEG at onset: burst suppression path (15.8%); typical hypsarhythmia (36.8%), modified hypsarhythmia (31.6%), hypsarhythmia with focal epileptiform changes (10.5%), lack of epileptiform changes (5.3%). Conclusion. WS is suspected at an early stage by the presence of any type of spasm, associated with a wide variety of electroencephalography and neuropsychic depression. Early recognition of ES is imperative for the differentiated choice of antiepileptic drug and the prevention of psychomotor disability. |
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| Cuvinte-cheie Epileptic spasms, West syndrome, electroencephalography, Spasme epileptice, sindrom West, electroencefalografie |
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<?xml version='1.0' encoding='utf-8'?> <oai_dc:dc xmlns:dc='http://purl.org/dc/elements/1.1/' xmlns:oai_dc='http://www.openarchives.org/OAI/2.0/oai_dc/' xmlns:xsi='http://www.w3.org/2001/XMLSchema-instance' xsi:schemaLocation='http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd'> <dc:creator>Feghiu, L.</dc:creator> <dc:creator>Hadjiu, S.A.</dc:creator> <dc:creator>Călcîi, C.</dc:creator> <dc:creator>Sprincean, M.L.</dc:creator> <dc:creator>Groppa, S.A.</dc:creator> <dc:creator>Cuzneț, L.</dc:creator> <dc:date>2020</dc:date> <dc:description xml:lang='en'><p>Background. Epileptic spasms (ES) are common in West syndrome (WS), a devastating encephalopathy, common in children up to 2 years, of various etiologies, such as: structural disorders of the brain and chromosomes, metabolic diseases, sometimes - unknown causes. The clinical-electroencephalographic examination Objective of the study. The aim of this study is to recognize the clinicalelectroencephalographic manifestations in ES at early stages, to help the specialists involved in the early detection of the disease. Material and Method. Retrospective study on a group of 19 children with ES, aged up to 2 years, distributed as follows: 1-3 months (4 cases); 3-6 months (7); 6-12 months (5); > 1 year (3 cases), examined based on the anamnesis and video recordings. The clinical manifestations and the characteristics of the electroencephalographic (EEG) pathways were evaluated and discussed. Results. The diagnosis of ES was based on the presence of ES (89.5%), their repetitive nature (79%), the preferential appearance on waking (68.4%). ES at onset: spasm of the eyelids (15.8%) or facial muscles (10.5%); neck muscle strains (21%); trunk tension (21%); limb spasms - in flexion (15.8%), in extension (10.5%), mixed (5.4%); isolated spasms (57.9%), symmetrical (26.3%), asymmetric (15.8%). Atypical ES - common in infants (79%).EEG at onset: burst suppression path (15.8%); typical hypsarhythmia (36.8%), modified hypsarhythmia (31.6%), hypsarhythmia with focal epileptiform changes (10.5%), lack of epileptiform changes (5.3%). Conclusion. WS is suspected at an early stage by the presence of any type of spasm, associated with a wide variety of electroencephalography and neuropsychic depression. Early recognition of ES is imperative for the differentiated choice of antiepileptic drug and the prevention of psychomotor disability.</p></dc:description> <dc:description xml:lang='ro'><p>Introducere. Spasmele epileptice (SE) sunt comune sindromului West (SW), o encefalopatie devastatoare, frecventă la copiii până la 2 ani, de etiologii variate, cum sunt: tulburările structurale ale creierului și cele cromozomiale, bolile metabolice, uneori – cauze necunoscute.Scopul lucrării. Scopul acestui studiu este de a recunoaște manifestările clinice electroencefalografice în SE la etape timpurii, pentru a ajuta specialiștii implicați, în detectarea precoce a bolii. Material și Metode. Studiu retrospectiv pe un lot de 19 copii cu SE, cu vârsta până la 2 ani, distribuiți în felul următor: 1-3 luni (4 cazuri); 3-6 luni (7); 6-12 luni (5); >1 an (3 cazuri), examinați în baza anamnezei și a filmărilor video. Au fost evaluate și am pus în discuție manifestările clinice și caracteristicile traseelor electroencefalografice (EEG). Rezultate. Diagnosticul SE s-a bazat pe prezența SE (89,5%), caracterul lor repetitiv (79%), apariția preferențial la trezire (68,4%). SE la debut: spasmul pleoapelor (15,8%) sau al mușchilor feței (10,5%); încordări ale mușchilor gâtului (21%); încordarea trunchiului (21%); spasmele membrelor – în flexie (15,8%), în extensie (10,5%), mixte (5,4%); spasme izolate (57,9%), simetrice (26,3%), asimetrice (15,8%). SE atipice – frecvent la sugari (79%). EEG la debut: traseu burst suppression (15,8%); hipsaritmie tipică (36,8%), hipsaritmie modificată (31,6%), hipsaritmie cu modificări epileptiforme focale (10,5%),lipsa modificărilor epileptiforme (5,3%). Concluzii. Suspectarea SW la etape precoce se face prin prezența oricăror tipuri de spasme, asociate cu o mare varietate electroencefalografică și depresie neuropsihică. Recunoașterea timpurie a SE este imperativă pentru alegerea diferenţiată a drogului antiepileptic și prevenirea handicapului psihomotor.</p></dc:description> <dc:source>Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” () 545-545</dc:source> <dc:subject>Epileptic spasms</dc:subject> <dc:subject>West syndrome</dc:subject> <dc:subject>electroencephalography</dc:subject> <dc:subject>Spasme epileptice</dc:subject> <dc:subject>sindrom West</dc:subject> <dc:subject>electroencefalografie</dc:subject> <dc:title>Spasmele epileptice la copii: aspecte clinicoelectroencefalografice</dc:title> <dc:type>info:eu-repo/semantics/article</dc:type> </oai_dc:dc>
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