scholarly journals Electroencephalogram of Age-Dependent Epileptic Encephalopathies in Infancy and Early Childhood

2013 ◽  
Vol 2013 ◽  
pp. 1-18 ◽  
Author(s):  
Lily C. Wong-Kisiel ◽  
Katherine Nickels

Epileptic encephalopathy syndromes are disorders in which the epileptiform abnormalities are thought to contribute to a progressive cerebral dysfunction. Characteristic electroencephalogram findings have an important diagnostic value in classification of epileptic encephalopathy syndromes. In this paper, we focus on electroencephalogram findings of childhood epileptic encephalopathy syndromes and provide sample illustrations.

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Sonia Khan ◽  
Raidah Al Baradie

Epileptic encephalopathies are an epileptic condition characterized by epileptiform abnormalities associated with progressive cerebral dysfunction. In the classification of the International League Against Epilepsy eight age-related epileptic encephalopathy syndromes are recognized. These syndromes include early myoclonic encephalopathy and Ohtahara syndrome in the neonatal period, West syndrome and Dravet syndrome in infancy, myoclonic status in nonprogressive encephalopathies, and Lennox-Gastaut syndrome, Landau-Kleffner syndrome, and epilepsy with continuous spike waves during slow wave sleep in childhood and adolescences. Other epileptic syndromes such as migrating partial seizures in infancy and severe epilepsy with multiple independent spike foci may be reasonably added. In this paper, we provide an overview of epileptic encephalopathies including clinical neurophysiological features, cognitive deterioration, and management options especially that these conditions are generally refractory to standard antiepileptic drugs.


2012 ◽  
Vol 21 (1) ◽  
pp. 95-102
Author(s):  
Otília Queirós ◽  
Teresa Golschimdt ◽  
Sara Almeida ◽  
Maria José Gonçalves

As alterações de comportamento são um sintoma, que pela disrupção que provocam na dinâmica familiar constituem um dos principais motivos de consulta pedopsiquiátrica na 1.ª infância (cerca de 1/3 do totaldos casos). Trata-se contudo de um sintoma que é comum a diversos quadros clínicos e que corresponde a diferentes situações do ponto de vista psicopatológico, cuja compreensão é fundamental para uma adequada intervenção terapêutica e prognóstico. Na 1.ª infância, a delimitação clara dos quadros clínicos coloca algumas dificuldades devido às modificações rápidas do desenvolvimento, à falta de especificidade dos factores causais e ao contributo das perturbações relacionais para a patologia da criança. Mais importante do que as manifestações clínicas, é o nível de funcionamento das estruturas psíquicas, nomeadamente da organização do Self e do desenvolvimentodo Eu, que é importante avaliar nestas situações.Neste trabalho, os autores fazem uma revisão da casuística da UPI relativamente às crianças referenciadas por alterações de comportamento durante um período de três anos (1996-1999), sendo apresentados os seus diagnósticos segundo a classificação DC: 0-3 (Diagnostic Classification of Mental health and developmentdisorders of Infancy and Early Childhood), nos eixos I – diagnóstico primário – e II – perturbação da relação. Os autores apresentam também vinhetas clínicas ilustrativas da psicopatologia que pode estar subjacente a este sintoma.


2020 ◽  
Vol 46 (1) ◽  
Author(s):  
Angelo Russo ◽  
Giuseppe Gobbi

AbstractThe International League Against Epilepsy (ILAE) has been working to standardize the epilepsy classifications for over a hundred years.The latest epilepsy classification has been recently carried out with a careful overview on several topics including the “epileptic encephalopathies” concept and several constructive discussions on this topic have taken place in the international community of epileptologists.Here we wish to share our reflection on a statement of the ILAE commission on the “epileptic encephalopathy” concept, which in our opinion pays less attention to the “electroclinical syndromes” concept in favor of the new and very rapid genetic advances, thus generating confusion.Our aim is both to preserve the role of electroclinical syndromes, while allowing for the association of the phenotype with specific gene mutations, and to underline the importance of bringing electroclinical syndromes back to the forefront of epileptology.We believe the “match” is still open and for this reason we would like to share our considerations and to open a constructive debate on the “epileptic encephalopathy” concept.


Author(s):  
Thomas Achenbach

This chapter presents nosological models for early childhood psychopathology embodied in the Diagnostic and Statistical Manual of Mental Disorders (DSM), fifth edition, and the International Classification of Diseases, 10th revision. It also presents the revised Diagnostic Classification of Mental Health and Development Disorders of Infancy and Early Childhood as another nosological approach that provides more differentiated diagnostic categories and criteria for early childhood disorders. As an alternative to the top-down nosological approaches based on experts’ concepts of disorders, the chapter presents bottom-up approaches that statistically derive dimensional syndromes from ratings of problems in large samples of children. Statistically derived syndromes have been supported by data from multiple informants in dozens of societies around the world. The data from these societies have been used to construct multicultural norms for the syndromes, for DSM-oriented scales, and for broad-spectrum Internalizing, Externalizing, and Total Problems scales. Case illustrations are provided for translational applications in medical, mental health, educational, and child or family service settings.


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