Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1382
8
1
gregorian
2003
11
1
17
3
online
1
fulltext
en
CAUSES OF INTRACTABLE SEIZURES IN A SURVEY OF 10,000 EPILEPTIC CHILDREN
Pediatric
Pediatric
Original Research
Original Research
Although treated properly for epilepsy, a number of epileptic children have
intractable seizures and about 5-10 per cent of them do not respond to anti -epileptic
drugs. In the years 1986-1996 about 10,000 epileptic patients were treated in
the Children's Medical Center in Tehran. A retrospective study of their medical
records revealed that 41 of them had intractable seizures. I
Of these 41 patients, 56.9% had partial epilepsy, 12.2% grand mal epilepsy,
14 % atypical petit-mal, 7.3% Lennox syndrome, 7.3% infantile spasm and 2.4%
myoclonic epilepsy. All of them had received at least two anti-epileptic drugs.
34.1 % were not treated regularly. 31.7% had organic brain dysfunction and 51.6%
had behavior disorder (hyperactivity-aggressiveness, etc.).
These figures show a lower rate of intractable seizures than that of international
statistics. T he most important cause of intractable seizures seems to be
irregular treatment of the epilepsy.
Epilepsy, Intractable seizures, Irregular treatment.
209
212
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-298-142&slc_lang=en&sid=1
A
A. NASIRIAN
20031947532846003736
20031947532846003736
Yes
From the Dept. of Pediatric Neurology, Tehran University of Medical Sciences, Tehran, I.R. Iran.