Recurrent seizures and behavior problems in children with first recognized seizures: a prospective study.

Abstract:

PURPOSE:Children with epilepsy have high rates of behavior problems. The purpose was to describe prospectively the association of seizures and behavior problems in children with new-onset seizures. METHODS:Subjects were 224 children with new-onset seizures (aged 4-14 years) and 159 siblings (4-18 years). Caregiver's ratings of the behavior were collected 4 times: at baseline, and at 6, 12, and 24 months. During the 2-year period, 163 (73%) children had at least one additional seizure, and 61 (27%) had none. Data were analyzed by using repeated measures analysis of variance both with and without covariates [site, age, gender, race, caregiver education (years), and seizure medications]. RESULTS:On average, children had higher CBCL Total and Internalizing Behavior Problems scores across all times when experiencing recurrent seizures than when not experiencing recurrent seizures (Total Problems, p = 0.041, controlling for demographics and seizure medications). Siblings had significantly lower Total and Internalizing Problems scores than both children experiencing (Total Problems adjusting for covariates, p = 0.0001) and not experiencing recurrent seizures (p = 0.0004). Externalizing Problems scores were not significantly different among children with recurring seizures, children without recurring seizures, and siblings. CONCLUSIONS:Recurrent seizures significantly predicted behavior problems very early in the course of a seizure condition, even when key child, demographic, and seizure variables were controlled. Explanations for these findings include the possibilities that both seizures and behavior problems are caused by an underlying neurological disorder, that seizures per se disrupt behavior, or that children have negative psychological responses to seizure activity.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Austin JK,Dunn DW,Caffrey HM,Perkins SM,Harezlak J,Rose DF

doi

10.1046/j.1528-1157.2002.26002.x

subject

Has Abstract

pub_date

2002-12-01 00:00:00

pages

1564-73

issue

12

eissn

0013-9580

issn

1528-1167

pii

epi26002

journal_volume

43

pub_type

杂志文章
  • Epilepsy and deprivation, a data linkage study.

    abstract:OBJECTIVE:To investigate whether the link between epilepsy and deprivation is due to factors associated with deprivation (social causation) or factors associated with a diagnosis of epilepsy (social drift). METHODS:We reviewed electronic primary health care records from 2004 to 2010, identifying prevalent and incident...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.12942

    authors: Pickrell WO,Lacey AS,Bodger OG,Demmler JC,Thomas RH,Lyons RA,Smith PE,Rees MI,Kerr MP

    更新日期:2015-04-01 00:00:00

  • The value of the number-needed-to-treat method in antiepileptic drug trials.

    abstract:PURPOSE:There is controversy between clinicians and statisticians on the appropriateness of the number needed to treat (NNT) as a summary statistic to report the effectiveness of a treatment. We examine the two viewpoints and make proposals concerning the reporting of clinical trial results. METHODS:In the context of ...

    journal_title:Epilepsia

    pub_type: 临床试验,杂志文章,meta分析,随机对照试验

    doi:10.1111/j.1528-1157.2000.tb00186.x

    authors: Lesaffre E,Boon P,Pledger GW

    更新日期:2000-04-01 00:00:00

  • Calorie restriction and glucose regulation.

    abstract::Ketogenic diets (KDs) are effective treatments for epilepsy. The mechanisms of action are poorly understood. In some experimental seizure models, calorie restriction and hypoglycemia may augment the antiseizure effects of KDs. In addition, inhibiting glycolysis or diverting glucose from the glycolytic pathway inhibits...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2008.01847.x

    authors: Yamada KA

    更新日期:2008-11-01 00:00:00

  • The burden of decisional uncertainty in the treatment of status epilepticus.

    abstract:OBJECTIVE:Treatments for convulsive status epilepticus (SE) have a wide range of effectiveness. The estimated effectiveness of non-intravenous benzodiazepines (non-IV BZDs) ranges from approximately 70% to 90% and the estimated effectiveness of non-benzodiazepine antiseizure medications (non-BZD ASMs) ranges from appro...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.16646

    authors: Sánchez Fernández I,Gaínza-Lein M,Barcia Aguilar C,Amengual-Gual M,Loddenkemper T

    更新日期:2020-10-01 00:00:00

  • Ex vivo characterization of neuroinflammatory and neuroreceptor changes during epileptogenesis using candidate positron emission tomography biomarkers.

    abstract:OBJECTIVE:Identification of patients at risk of developing epilepsy before the first spontaneous seizure may promote the development of preventive treatment providing opportunity to stop or slow down the disease. METHODS:As development of novel radiotracers and on-site setup of existing radiotracers is highly time-con...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.16353

    authors: Bascuñana P,Gendron T,Sander K,Jahreis I,Polyak A,Ross TL,Bankstahl M,Arstad E,Bankstahl JP

    更新日期:2019-11-01 00:00:00

  • Secular trends and birth cohort effects in unprovoked seizures: Rochester, Minnesota 1935-1984.

    abstract::The incidence of idiopathic/cryptogenic epilepsy and isolated unprovoked seizures has been relatively stable in the population of Rochester, Minnesota, for the 50-year period 1935 through 1984. In each decade, the age-specific rates exhibited a consistent U-shaped pattern of decreasing rates from infancy to age 40-49 ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1995.tb02570.x

    authors: Annegers JF,Hauser WA,Lee JR,Rocca WA

    更新日期:1995-06-01 00:00:00

  • Cerebellar, limbic, and midbrain volume alterations in sudden unexpected death in epilepsy.

    abstract:OBJECTIVE:The processes underlying sudden unexpected death in epilepsy (SUDEP) remain elusive, but centrally mediated cardiovascular or respiratory collapse is suspected. Volume changes in brain areas mediating recovery from extreme cardiorespiratory challenges may indicate failure mechanisms and allow prospective iden...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.14689

    authors: Allen LA,Vos SB,Kumar R,Ogren JA,Harper RK,Winston GP,Balestrini S,Wandschneider B,Scott CA,Ourselin S,Duncan JS,Lhatoo SD,Harper RM,Diehl B

    更新日期:2019-04-01 00:00:00

  • Dipropylacetic acid (Depakine) in experimental epilepsy in the alert cat.

    abstract::The effect od dipropylacetic acid (DPA; Depakine) on the bemegride-induced convulsive threshold was investigated in alert cats. Forty-five min after DPA 200 mg/kg, s.c., no significant effect was obtained; 5 min after the same dose iv., protection from bemegride-induced seizures was pronounced. DPA did not decrease fo...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1975.tb04724.x

    authors: van Duijn H,Beckmann MK

    更新日期:1975-03-01 00:00:00

  • Neuroimaging in identifying focal cortical dysplasia and prognostic factors in pediatric and adolescent epilepsy surgery.

    abstract:PURPOSE:The purpose of this study is to determine the sensibility of each imaging tool in identifying focal cortical dysplasia (FCD) in children and adolescents with epilepsy and to define the prognostic factors of pediatric and adolescent epilepsy surgery. METHODS:We identified 48 children with FCD who underwent rese...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2010.02950.x

    authors: Kim YH,Kang HC,Kim DS,Kim SH,Shim KW,Kim HD,Lee JS

    更新日期:2011-04-01 00:00:00

  • (1)H-MR spectroscopy indicates prominent cerebellar dysfunction in benign adult familial myoclonic epilepsy.

    abstract:PURPOSE:To investigate the neurochemical pattern in patients with benign adult familial myoclonic epilepsy (BAFME/FAME), an inherited form of myoclonic epilepsy, by proton magnetic resonance (MR) spectroscopy ((1)H-MRS). METHODS:Eleven BAFME patients from three families showing linkage to 2p11.1-q12.2 were compared wi...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2008.01900.x

    authors: Striano P,Caranci F,Di Benedetto R,Tortora F,Zara F,Striano S

    更新日期:2009-06-01 00:00:00

  • Temporal lobe epilepsy subtypes: differential patterns of cerebral perfusion on ictal SPECT.

    abstract:PURPOSE:We studied cerebral perfusion patterns in the various subtypes of TLE, as determined by pathology and good outcome after temporal lobectomy (as confirmation of temporal origin). METHODS:We studied clinical features and ictal technetium 99m hexamethyl-propyleneamineoxime (99mTc-HM-PAO) single-photon emission-co...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1996.tb00653.x

    authors: Ho SS,Berkovic SF,McKay WJ,Kalnins RM,Bladin PF

    更新日期:1996-08-01 00:00:00

  • Rapid switchover to carbamazepine using pharmacokinetic parameters.

    abstract:PURPOSE:The standard practice of switching patients to carbamazepine (CBZ) involves initiating a low dose and raising it by small increments until the desired dose is reached, to avoid intolerable adverse effects (AE). In a pilot study, a protocol using single-dose kinetic studies was developed to switch patients to CB...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1998.tb01358.x

    authors: Kanner AM,Bourgeois BF,Hasegawa H,Hutson P

    更新日期:1998-02-01 00:00:00

  • The management of refractory idiopathic epilepsies.

    abstract::Idiopathic epilepsies comprise a wide variety of partial and generalized syndromes that have in common a known or presumed genetic etiology and the lack of overt abnormalities other than the epilepsy itself. Most of these epilepsies have a benign natural history and/or show a favorable response to antiepileptic drug (...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1046/j.1528-1157.2001.042suppl.3031.x

    authors: Perucca E

    更新日期:2001-01-01 00:00:00

  • Survey of public awareness, understanding, and attitudes toward epilepsy in Henan province, China.

    abstract::The awareness, understanding, and attitudes toward epilepsy in 1,278 men and women were surveyed in Henan, China in 1988. Results showed that 93% had read or heard about epilepsy; 77% knew someone who had epilepsy; 72% had seen someone who was having a seizure; 57% would object to having their children associate with ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.1990.tb06304.x

    authors: Lai CW,Huang XS,Lai YH,Zhang ZQ,Liu GJ,Yang MZ

    更新日期:1990-03-01 00:00:00

  • The ketogenic diet: adolescents can do it, too.

    abstract:PURPOSE:To determine both the efficacy of and compliance with the ketogenic diet in the adolescent population. METHODS:A retrospective study of 45 patients, aged 12-19 years, consecutively enrolled in a ketogenic diet program from 1994 to 2002, was performed. Thirty-seven patients were from The Johns Hopkins Medical I...

    journal_title:Epilepsia

    pub_type: 杂志文章,多中心研究

    doi:10.1046/j.1528-1157.2003.57002.x

    authors: Mady MA,Kossoff EH,McGregor AL,Wheless JW,Pyzik PL,Freeman JM

    更新日期:2003-06-01 00:00:00

  • Classification of epileptic seizures: a hospital-based study of 1,250 patients in a developing country.

    abstract::The 1981 International Classification of Epileptic Seizures (ICES) was used to study the distribution of seizure types in 1,250 patients attending an Epilepsy Clinic in Sri Lanka. Based on seizure symptomatology 94.6% of the cases could be classified, and by adding the routine interictal EEG findings the percentage of...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1993.tb02095.x

    authors: Senanayake N

    更新日期:1993-09-01 00:00:00

  • Longitudinal stability of interictal spikes in benign epilepsy with centrotemporal spikes.

    abstract:OBJECTIVE:To describe the natural history of electroencephalography (EEG) changes in patients with benign epilepsy with centrotemporal spikes (BECTS) over 1 year. METHODS:Centrotemporal spikes were visually evaluated based on 24-h ambulatory EEG studies to determine the total, left, right, and bilateral centrotemporal...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13367

    authors: Tenney JR,Glauser T,Altaye M,Szaflarski JP,Spencer C,Morita D,Vannest J

    更新日期:2016-05-01 00:00:00

  • Human glioma cells induce hyperexcitability in cortical networks.

    abstract:PURPOSE:Patients with gliomas frequently present with seizures, but the factors associated with seizure development are still poorly understood. In this study, we assessed peritumoral synaptic network activity in a glioma animal model and tested the contribution of aberrant glutamate release from gliomas on glioma-asso...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2012.03557.x

    authors: Campbell SL,Buckingham SC,Sontheimer H

    更新日期:2012-08-01 00:00:00

  • Pharmacokinetic profile of a 300-mg extended phenytoin sodium capsule (Dilantin) formulation.

    abstract::The pharmacokinetic profile of a newly developed Dilantin 300-mg Kapseal formulation was compared with that of currently marketed Dilantin 100-mg Kapseals in both a 300-mg single-dose bioequivalence study in nine healthy volunteers and a once-daily 300-mg multiple-dose study in 18 patients with seizures. Results of th...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1990.tb05503.x

    authors: Randinitis EJ,Buchanan RA,Kinkel AW

    更新日期:1990-07-01 00:00:00

  • Refractory status epilepticus during pregnancy secondary to cavernous angioma.

    abstract:SUMMARY:First-time seizure and status epilepticus during pregnancy have been previously reported as the initial manifestation of intracranial cavernous hemangioma. We report a woman with no history of seizures who presented with refractory status epilepticus at 10 weeks gestation. Cranial MRI revealed a right frontal c...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2008.01639.x

    authors: Aladdin Y,Gross DW

    更新日期:2008-09-01 00:00:00

  • Design of dietary treatment: humans versus rodents.

    abstract::Ketogenic diets (KDs) are designed to create the metabolic conditions of fasting, which was among the earliest therapies discovered for epilepsy. The major measures used to evaluate dietary effectiveness have been the levels of urinary ketone bodies and the successful reduction of seizure activity. Modifications of th...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2008.01837.x

    authors: Eagles DA

    更新日期:2008-11-01 00:00:00

  • Epilepsy and sudden death: a personal view.

    abstract::Epilepsy Bereaved? is a charity that aims to inform, support, and empower partners, relatives, and friends of people affected by sudden unexpected death in epilepsy (SUDEP). It also works toward preventing mortality due to SUDEP through raising awareness and promoting research. The aim of Epilepsy Bereaved? is to enab...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1997.tb06121.x

    authors: Hanna J

    更新日期:1997-11-01 00:00:00

  • Possible induction of systemic lupus erythematosus by valproate.

    abstract::Two patients developed clinical and laboratory evidence of systemic lupus erythematosus (SLE) during treatment with valproate (VPA) preparations. The first patient, a 47-year-old man, had fever, malaise, and thrombocytopenia 1 month after VPA was added to phenytoin (PHT) and primidone (PRM). He developed high titers o...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1990.tb05386.x

    authors: Bleck TP,Smith MC

    更新日期:1990-05-01 00:00:00

  • Are MRI-detected brain abnormalities associated with febrile seizure type?

    abstract:OBJECTIVE:Whether magnetic resonance imaging (MRI) is informative in febrile seizures (FS) is unknown. We undertook a study to determine the frequency of MRI-detected brain abnormalities and to evaluate their association with FS type and with specific features of complex FS. METHODS:A prospective cohort study, from 19...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2007.01459.x

    authors: Hesdorffer DC,Chan S,Tian H,Allen Hauser W,Dayan P,Leary LD,Hinton VJ

    更新日期:2008-05-01 00:00:00

  • Genetics of the partial epilepsies: a review.

    abstract::The research literature is consistent in reporting somewhat less familial aggregation in partial than in generalized epilepsy. However, relatives of patients with partial seizures do appear to have higher seizure risks than relatives of controls, suggesting that genetic factors are important in at least some partial e...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1157.1989.tb05290.x

    authors: Ottman R

    更新日期:1989-01-01 00:00:00

  • Prevalence of epilepsy and seizures in the Navajo Nation 1998-2002.

    abstract:PURPOSE:To determine the prevalence of epilepsy and seizures in the Navajo. METHODS:We studied 226,496 Navajo residing in the Navajo Reservation who had at least one medical encounter between October 1, 1998 and September 30, 2002. We ascertained and confirmed cases in two phases. First, we identified patients with In...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2009.02140.x

    authors: Parko K,Thurman DJ

    更新日期:2009-10-01 00:00:00

  • Spike wave location and density disturb sleep slow waves in patients with CSWS (continuous spike waves during sleep).

    abstract:OBJECTIVE:In CSWS (continuous spike waves during sleep) activation of spike waves during slow wave sleep has been causally linked to neuropsychological deficits, but the pathophysiologic mechanisms are still unknown. In healthy subjects, the overnight decrease of the slope of slow waves in NREM (non-rapid eye movement)...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.12576

    authors: Bölsterli Heinzle BK,Fattinger S,Kurth S,Lebourgeois MK,Ringli M,Bast T,Critelli H,Schmitt B,Huber R

    更新日期:2014-04-01 00:00:00

  • Cerebral and cerebellar volume reduction in children with intractable epilepsy.

    abstract:PURPOSE:Adult epilepsy studies have demonstrated cerebral and cerebellar volume reduction beyond the epileptogenic zone, correlating this with an inferior surgical outcome. We determined whether brain volumes were reduced in childhood epilepsy and the significance of this. METHODS:Cerebral, cerebellar, and hippocampal...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.2000.tb00122.x

    authors: Lawson JA,Vogrin S,Bleasel AF,Cook MJ,Bye AM

    更新日期:2000-11-01 00:00:00

  • The effects of oxcarbazepine, levetiracetam, and lamotrigine on semen quality, sexual function, and sex hormones in male adults with epilepsy.

    abstract:OBJECTIVE:To investigate the effects of antiepileptic drugs (AEDs; oxcarbazepine [OXC], levetiracetam [LEV], and lamotrigine [LTG]) on semen quality, sexual function, and sex hormones in male adults with epilepsy. METHODS:Individual treatment with OXC, LEV, or LTG was randomly assigned to 38 newly diagnosed male adult...

    journal_title:Epilepsia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/epi.14450

    authors: Wu D,Chen L,Ji F,Si Y,Sun H

    更新日期:2018-07-01 00:00:00

  • Gabapentin as add-on therapy in children with refractory partial seizures: a 12-week, multicentre, double-blind, placebo-controlled study. Gabapentin Paediatric Study Group.

    abstract:PURPOSE:To evaluate the efficacy and safety of gabapentin (Neurontin; GBP) as add-on therapy for refractory partial seizures in paediatric patients aged 3-12 years. METHODS:After a 6-week baseline period, 247 patients (54 centres) entered a 12-week double-blind phase and were randomized to receive either GBP (t.i.d., ...

    journal_title:Epilepsia

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1111/j.1528-1157.1999.tb00833.x

    authors: Appleton R,Fichtner K,LaMoreaux L,Alexander J,Halsall G,Murray G,Garofalo E

    更新日期:1999-08-01 00:00:00