Volume 4, Issue 2, June 2020, Page: 29-32
Characteristics of Epilepsy in Children with Cerebral Palsy
Denis Fiolita, Department of Child Health, Medical Faculty of Udayana University, Sanglah Hospital, Denpasar, Indonesia
I Gusti Ngurah Made Suwarba, Department of Child Health, Medical Faculty of Udayana University, Sanglah Hospital, Denpasar, Indonesia
Dewi Sutriani Mahalini, Department of Child Health, Medical Faculty of Udayana University, Sanglah Hospital, Denpasar, Indonesia
Received: May 10, 2020;       Accepted: May 27, 2020;       Published: Jun. 4, 2020
DOI: 10.11648/j.cnn.20200402.12      View  204      Downloads  58
Abstract
Cerebral palsy is a disorder of movement and posture due to disruption of the immature motoric cells in central nervous systems. It is characterized by various neurological abnormalities, one of them is epilepsy. Epilepsy is difficult to control, as it is able to aggravate motor disorders and disrupt cognitive function, ultimately worsening the long-term outcome. This research aims to determine the characteristics of epilepsy in children with cerebral palsy. A cross-sectional study was done based on medical records data Pediatric Outpatient Department and Medical Rehabilitation Installation Sanglah Hospital from January 2016 until June 2018. Eighty-four samples were included. Most of the samples were female (53.6%) with mean of age was 64 months and onset of epilepsy was 21 months. Regarding to nutritional status, most of them with undernutrition (44%). Based on birth history, 66.7% of them was born by spontaneous delivery, 34.5% with asphyxia and 82.1% were normal birth weight. Generalized seizure was the most common type of seizure (81%). Most types of cerebral palsy were spastic type (94%). History of seizures at <1 year of age was 63.1%. History of central nervous system infection was 15.5%. The most brain abnormalities was microcephaly (34.5%). Abnormal EEG results were about 91.7%, with family history of seizures was 1.2%. Frequency of polytherapy with anti-epileptic drugs was 69%. The most common type of cerebral palsy in this research was spastic type. Generalized seizure was the most common type of seizure in epilepsy children with cerebral palsy. Most of them have abnormal EEG results and need more than one anti-epileptic therapy.
Keywords
Cerebral palsy, Characteristic, Epilepsy
To cite this article
Denis Fiolita, I Gusti Ngurah Made Suwarba, Dewi Sutriani Mahalini, Characteristics of Epilepsy in Children with Cerebral Palsy, Clinical Neurology and Neuroscience. Vol. 4, No. 2, 2020, pp. 29-32. doi: 10.11648/j.cnn.20200402.12
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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