Abstract:
Symptomatic focal epilepsy is met frequent in children, the clinic is expressed by
polymorph seizures, often with kinematics generalized characteristics. The onset of the seizures
has a maximum incidence under the age of 3, with a higher prevalence of tonic seizures. FSBS
is responsible for the large polymorphism of the epileptic seizures and cognitive deficiency.
Pathophysiological mechanisms, make EEG diffuse patterns, correlated with epileptic
generalized seizures, although the trigger zone is located in unilateral cortical source. VideoEEG
monitoring is the method of choice in assessing the diagnosis by identifying the
semiological types of seizure and of the electroencephalographic patterns with establishing the
clinical-electroencephalographic correlation.
Epilepsia simptomatică focală se întâlneşte frecvent la copii, tabloul clinic fiind exprimat
prin crize polimorfe, deseori cu caracteristici chinematice generalizate. Debutul crizelor are o
incidenţă maximală sub vârsta de 3 ani, cu prevalenţa crizelor tonice. Fenomenul de sincronizare
bilaterală secundară (FSBS) este responsabil de polimorfismul vast al crizelor epileptice şi a
deficienţilor cognitive. Mecanismele patofiziologice ale FSBS realizează patterne EEG difuze,
corelate cu crizele epileptice generalizate, deşi punctul de plecare (zona trigger) se află în focar
cortical unilateral. Monitorizarea Video-EEG este metoda de elecţie în aprecierea diagnosticului
prin identificarea tipurilor semiologice de crize şi a patternelor electroencefalografice ictale cu
stabilirea corelaţiei clinico-electroencefalografice.
Description:
Departamentul Pediatrie, Clinica neuropediatrie a USMF „Nicolae Testemiţanu”,
Centrul Medical ,,Excellence’’
