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SM ISO690:2012 CUZNEȚ, Ludmila, HADJIU, Svetlana, FEGHIU, Ludmila, GRÎU, Corina, CĂLCÎI, Cornelia, REVENCO, Ninel. Epilepsiile la copilul cu paralizie cerebrală spastică. 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. 548. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||
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. Epilepsy, one of the most common brain diseases in children, is a chronic pathology, often associated with Cerebral Palsy (CP). Both are common causes of disability and child mortality. Objective of the study. assessment of the type of epileptic seizures and peculiarities of treatment in children with spastic CP, with the aim of improving the quality of life of these children. Material and Method. Prospective study (2017-2019) on a group of 28 children, aged 2 to 5 years, diagnosed with spastic CP, the forms: bilateral (17 cases – 60.7%), unilateral (11-39.3%), who presented various types of seizures. Children with febrile seizures were excluded from the study. Examinations: electroencephalography (EEG) and brain magnetic resonance imaging (MRI). Results. The following types of seizures were recorded: focal-64.3%, generalized – 28.6%, polymorphic-7.1%. Modify EEG: focal (40.9%), focal with bilateral extension (23.4%); generalized (25%), including hypsarrhythmia (3.6%); mixed (7.1%). MRI: cortical atrophy( 21.4%), cystic formations of various sizes: unilateral (46.4%), bilateral (14.3%); periventricular leukomalacia (10.7%), porencephaly (3.6%), developmental abnormalities of the brain (3.6%). Positive results in treatment by: monotherapy (57.2%), biotherapy (32.1%), polytherapy (10.7%). Conclusion. Epilepsy has an early onset in children with spastic CP, frequently associated with focal seizures. Response to treatment is correlated with the severity of brain damage, often requiring control with one or more preparations. Incorrect treatment adversely affects neurodevelopment |
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Cuvinte-cheie epilepsy, cerebral palsy, spastic, treatment, epilepsie, paralizie cerebrală, spastică, Tratament |
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