Table 1. Demographic and clinical Data of the patients.
Pat. | Diagnose | MRI findings | Age at EEG | AED | Type of seizures |
---|---|---|---|---|---|
1 1 | HIE a | Signal abnormality and swelling of basal ganglia and thalami | 1 day | PB | No clinical seizures |
2 1 | HIE b | Global cerebral, basal ganglia and thalamus infarction | 13 mo | MDL | No clinical seizures |
3 1 | Epileptic encephalopathy | brain malformation, simplified gyration, hypoplastic cerebellum | 1 mo | none | No clinical seizures |
4 1 | Neurometabolic disease c | Multiple, bilateral hemorrhages | 5 day | none | No clinical Seizures |
5 1 | HIE, IC hemorrhage | Brain atrophy d | 3 days | PB | No clinical Seizures |
6 1 | Migrating epilepsy | Normal | 7 mo | PHT, CLZ, ZNS, Ketogenic diet | Focal motor and Tonic seizures |
7 1 | Non-ketotic hyperglycinaemia | Mild delay of myelination | 2 mo | PB | Tonic seizures |
8 1 | HIE, ICH | Intracerebral Heamorrhage, oedema e | 6 days | PB, PHT | No clinical seizures |
9 1 | Metabolic | bilateral perisylvian and insular polymicrogyria | 6 weeks | PB | Tonic seizures |
10 2 | Focal epilepsy. later West-Syndrome | Delay of myelination, potentially focal cotical dysplasia | 8 mo | OXC, VPA, STP | Focal tonic seizures |
11 2 | EME DD: Otahara | Delay of myelination, progressive atrophy of white matter | 11 mo | PHT, CLB, TPM, CLB | Tonic seizures in series, polytopic myoclonia |
12 2 | Focal epilepsy. later West-Syndrome | No definitely pathological finding | 1 yr | STM, VGB | Tonic-clonic seizures |
13 2 | Focal epilepsy. later West syndrome | Myelination delay, focal cortical dysplasia of the left frontal lobe | 9 mo | PHT, CLB | Epileptic spasms in series |
List of abbreviation: AED Antiepileptic drugs; EEG Electroencephalography; PB Phenobarbital; MDL Midazolam; PHT Phenytoin; CLZ Clonazepam; ZNS Zonisamid; OXC—Oxcarbazepin, CLB Clobazam, STP Stiripenton. VGB Vigabatrin, STM Sulthiam. HIE hypoxic ischemic encephalopathy; IC intracranial Hemorrhage;
1 Patients from the Department of Neurophysiology, Great Ormond Street Hospital for children, London, UK.
2 Patients from the Department of Neuropediatrics at the University Hospital of Schleswig-Holstein, campus Kiel and the Northern German Epilepsy Centre for children & adolescents, Schwentinental/Raisdorf, Germany
a Severe perinatal hypoxic ischemic encephalopathy
b Severe hypoxic ischemic encephalopathy due to an aspiration with the grape and respiratory and cardiac arrest.
c DD: thromboembolic disease or genetic / mitochondrial disease.
d Marked brain atrophy, almost no remaining occipital parenchymal tissue. No underlying structural cause for the previous hemorrhage.
e Intraventricular haemorrhage, hydrocephalus. Diffuse cerebral hemisphere oedema. Left cerebellar and infra and supratentorial subdural haematoma, A small non-compressive intradural haematoma in the upper thoracic spine, subarachnoid haemorrhage.