Aspectos Gerais e Aspectos Atuais do Eletrencefalograma nas Síndromes Epilépticas
DOI:
https://doi.org/10.34024/rnc.1999.v7.8963Palavras-chave:
EEG, sindromes epilépticasResumo
Desde a última classificação internacional das síndromes epilépticas, em 1989, foram descritos novos padrões eletrográficos e novas síndromes foram publicadas, deixando a atual classificação desatualizada. 0 EEG 0 fundamental para o diagnóstico diferencial dos espasmos infantis, sobretudo com a síndrome de West, pois, Wen' de identificar a forma benigna, muito contribuiu para a atual hipótese de sua fisiopatologia. A síndrome de Lennox-Gastaut pode ser diferenciada dos pseudos Lennox-Gastaut, graças ao EEG. Na epilepsia rolandica, o EEG identifica a forma primaria e, recentemente, foi sugerida mudança no seu conceito. A identificação de atividade epileptiforme focal frontal nas ausências e na epilepsia mioclOnica juvenil (epilepsias generalizadas primarias) tem levantado novas hipóteses fisiopatológicas. A epilepsia parcial benigna da infância com crises parciais complexas ou com generalização para convulsões recebeu essa denominação graças ao EEG iotal. Os aspectos morfológicos do EEG crítico e do dipolo intercritico, na epilepsia do lobo temporal, tam contribuído para a localização da zona epileptogénica.
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Plouin P. Benign familial neonatal convulsions. In: Malafosse A, Genton P, Hirsch E, Marescaux C, Broglin D, Bernasconi R (Eds). Idiopathic Generalized Epilepsies: Clinical, Experimental and Genetic Aspects. John Libbey & Company Ltd., 1994, pp. 39-44.
Plouin P. Benign neonatal convulsions. In: Roger J, Dravet C, Bureau M, Dreifuss FE, Wolf P. Epileptic Syndromes in Infancy, Childhood and Adolescence. John Libbey Eurotext Ltd. London & Paris, 1985, pp. 2-11.
Aicardi J, Goutieres F. Encéphalopathie myoclonique neonatal°. Rev EEG Neurophysiol, 8:99-101, 1978.
Ohtahara S. Clinico-eletrical delineation of epileptic encephalopathies in childhood. Asia Med J, 21:7-17, 1978.
Tardieu M, Khoury W, Navelet V. Questiaux E, Landrieu P. Un syndrome spetaculaire et benin de "convulsions neonatales": les myoclonies du sommeil profond. Arch Fr Pediatr, 43:259-60, 1986.
Dravet C, Bureau M. L'epilepsie myoclonique benigne du nourrisson. Rev EEG Neurophysiol, 11:438-44, 1981.
Dravet C. Les épilepsies graves de l'enfant. Vie Med, 8:543-8. 1978.
Lombroso CT, Fejerman N. Benign myoclonus of early infancy. Ann Neural, 1:138-43, 1977.
Dravet D, Giraud N, Bureau M, Roger J. Benign myoclonus of early infancy or benign non-epileptic infantile spasms. Neuropediatrics, 17:33-8, 1986.
Reif-Leher L. Stemmermann MG. Monosodium glutamate intolerance in children. N Engl J Med, 4:1204, 1975.
Gatrad AR. Dystonic reactions to metoclopramide. Dev Med Child Neurol, 18:767-9, 1976.
Vanessa M, Bedar P. Andermann F. Shuddering attacks in children: an early clinical manifestation of essential tremor. Neurology, 26:1027-30, 1976.
Gobbi G, Bruno L, Pini A, Rossi PG, Tassinari CA. Periodic spasms: an unclassified type of epileptic seizure in childhood. Devei Med Child Neurol, 29:766-75, 1987.
Commission on Classification and Terminology of the International League Against Epilepsy. Proposal for revised Classification of Epilepsy and Epileptic Syndromes. Epilepsia, 30:389-99, 1989.
Dulac 0, Plouin P. Jambaqué I. Predicting favorable outcome in idiopathic West syndrome. Epilepsia, 34:747-56, 1993.
Mimaki T, Ono J, Yabuuchi H. Temporal lobe astrocytoma with infantile spasms. Ann Neurol, 14:695-6, 1983.
Chugani HT, Shields WD, Shewmon DA, Olson DM, Phelps ME, Peacock WJ. Infantile spasms: I. PET identifies focal cortical dysgenesis in cryptogenic cases for surgical treatment. Ann Neurol, 27:406-13, 1990.
, Carrazana EJ, Lombroso CT, Mikati M, Helmers S. Holmes GL. Facilitation of infantile spasms by partial seizures. Epilepsia, 34:97-109, 1993.
Pinard JM, Delalande 0, Plouin 0, Dulac O. Callosotomy in West Syndrome suggests a cortical origin of hypsarrhythmia. Epilepsia, 34:780-7, 1993.
Chugani HT, Shewmon DA, Sankar R, Chen BC, Phelps ME. Infantile spasms: II. Lenticular nuclei and brain stem activation on positron emission tomography. Ann Neurol, 31:212-9, 1992.
Hrachovy RA, Frost Jr JD, Kellaway E Hypsarrhythmia: variations on the theme. Epilepsia, 25:317-25, 1984.
Beaumanoir A. The Lennox-Gastaut Syndrome. In: Roger J, Dravet C, Bureau M, Dreifuss FE, Wolf P. Epileptic Syndromes in Infancy, Childhood and Adolescence. John Libbey Eurotext Ltd. London & Paris, 1985, pp. 89-99.
Doose H. Myoclonic astatic epilepsy of early childhood. In: Roger J, Dravet C, Bureau M, Dreifuss FE, Wolf P. Epileptic Syndromes in Infancy, Childhood and Adolescence. John Libbey Eurotext Ltd. London & Paris, 1985, pp. 78-88.
Oguni H, Fukuyama V. Imaizumi V. Uehara T Video-EEG analysis of drop seizures in myoclonic astatic epilepsy of early childhhood (Doose Syndrome). Epilepsia 33-805-13 1992.
Jayakar PB, Seshia SS. Electrical status epilepticus during slow wave sleep: a review. J Clin Neurophysiol, 8:219-31, 1991.
Djabraian AAF, Pradella-Hallinan M, Silva DF. Continuous spikes and waves during slow sleep: a study of 15 cases from Brazil. Epilepsia, 38(Suppl 3):121, 1997.
Silva OF; Lima MM, Gonzalez LVAT, Lopez OJLR, Anghinah H. Zanoteli E, Lima JGC. Epilepsy with continuous spike-waves during slow wave sleep. A clinical and electroencephalographic study. Arq Neuropsiquiatr, 53:252-7, 1995.
Aicardi J, Chevrie JJ. Atypical benign partial epilepsy of childhhod. Dev Med Child Neurol, 24:281-92, 1982.
, Silva DF, Lima MM, Anghinah R, Zanoteli E, Lima JGC. Atypical EEG pattern in children with absence seizures. Arq Neuropsiquiatr, 53:258-61, 1995.
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Publicado: 1999-04-30