• Home
  • NEW DAY MEDICINE
  • 12(50)2022
  • 8 -12 (50) 2022 — Nabieva Nozima Abdurahimovna — ELECTROENCEPHALOGRAPHY IN THE DIAGNOSIS OF SYMPTOMATIC EPILEPSY IN PATIENTS WITH INFANTIAL CEREBRAL PALSY

8 -12 (50) 2022 — Nabieva Nozima Abdurahimovna — ELECTROENCEPHALOGRAPHY IN THE DIAGNOSIS OF SYMPTOMATIC EPILEPSY IN PATIENTS WITH INFANTIAL CEREBRAL PALSY

ELECTROENCEPHALOGRAPHY IN THE DIAGNOSIS OF SYMPTOMATIC EPILEPSY IN PATIENTS WITH INFANTIAL CEREBRAL PALSY

Nabieva Nozima Abdurahimovna Bukhara State Medical Institute

Resume

The urgency of the problem. Cerebral palsy (CP) is a whole complex of neurological problems, the most important of which is symptomatic epilepsy (SE). About 1/3 of patients CP with suffer from SE. An electroencephalographic (EEG) study is the main method of testing for epilepsy. EEG is difficult to use in childhood. Data on the frequency of SE CP are contradictory: from 12% to 90%. This indicates the continuing relevance of studying SE in patients with CP. The purpose of the study was to give a comprehensive clinical and electrophysiological characteristics of CP in combination with SE.

Material and research methods. The work is based on the results of neurophysiological studies of 250 patients with CP. Patients, depending on the presence or absence of SE, were divided into two groups: the 1st main group – 150 patients with CP with SE, the 2nd comparison group – 100 patients with CP without epilepsy aged 3 to 12 years. All children underwent routine EEG.

The results of the study and their discussion: In the first study group (CP with SE) there was a significant predominance of regional epileptiform changes, in the second (CP without SE) – the predominance of periodic regional deceleration. In 100 (66.7%) observations of the main group, various types of epileptiform activity were registered. In 16 (16.0%) in the second group of patients, continued regional delta slowdown was noted in combination with the activity of “acute – slow wave”. These changes occurred in 5 (6.6%) children of the main group and in 18 (18.0%) children of the comparison group.

Conclusion. A prognostically stable EEG picture, the formation of an alpha-like rhythm in young children indicate a relatively favorable prognosis. On the contrary, a gross slowdown in the background rhythm, high-amplitude generalized activity, hypsarrhythmia, as well as a combination of regional epileptform activity with an expressed functional delay in electrogenesis are unfavorable EEG signs and correlate with the severe course and poor prognosis of this disease.

Key words: cerebral palsy, symptomatic epilepsy, electroencephalography.

First page

44

Last page

48

For citation: Nabieva Nozima Abdurahimovna – ELECTROENCEPHALOGRAPHY IN THE DIAGNOSIS OF SYMPTOMATIC EPILEPSY IN PATIENTS WITH INFANTIAL CEREBRAL PALS //New Day in Medicine 12(50)2022 44-48 https://clck.ru/3354dP

LIST OF REFERENCES:

  1. Айкарди Ж. Заболевание нервной системы у детей / Пер. с англ. Проценко Т.С., Барашкова С.В., под общ. ред. Скоромца А.А. – Т.1. – М.: БИНОМ-Издательство Панфилова, 2013. –  568 с.
  2. Артыкова М.А. Клинико-анамнестические факторы риска развития симптоматической эпилепсии при детском церебральном параличе //Детская и подростковая реабилитация. Москва, 2014. – №2(23).–С.33-36.
  3. Артыкова М.А., Набиева Н.А. Электроэнцефалографические особенности детей с церебральным параличом и эпилепсией //Журнал неврологии и нейрохирургических исследований, – Самарканд, 2020, №1(01) С.34-39.
  4. Артыкова М.А., Валиев Н.А. Клинико-морфологические особенности развития симптоматической эпилепсии при детском церебральном параличе //Журнал теоретической и клинической медицины. Ташкент.-2022. -№3. -С.79-84.
  5. Набиева Н.А. Генетические аспекты развития детского церебрального паралича и симптоматической эпилепсии. //Журнал теоретической и клинической медицины. Ташкент.-2022. -№3. -С.84-89.
  6. Барашнев Ю.И. Принципы реабилитационной терапии перинатальных повреждений нервной системы у новорожденных и детей первого года жизни //Российский вестник перинатологии и педиатрии. – 1999. – № 1. – С. 7-12.
  7. Доскин В.А. Основы ранней реабилитации детей с отклонениями в развитии //Российский вестник перинаталогии и педиатрии. – 1998. – № 4. – С. 54-56.
  8. Петрухин А.С. Факторы риска и ранние проявления отдельных форм детского церебрального паралича в различном гестационном возрасте / А.С. Петрухин, Н.С. Созаева //Казанский медицинский журнал. -2010.  -Т. 91, №2.-С. 180-186.
  9. Aronson E., Stevenson S. B. Bone health in children with cerebral palsy and epilepsy //J. Pediatr. Health Care. – 2012. – Vol. 26, N 3. – P. 193–199.
  10. Artykova M.A. Morphological changes in children with cerebral palsy with symptomatic epilepsy //European science Rewiev журнал. – Австрия,  2016. – №7-8. – Р. 49-51.
  11. Nabieva N.A., Artykova M.A. Possibilities of Magnetic Resonant Spectroscopy in the Diagnostics of Epilepsy in Patients with Cerebral Palsy //American Journal of Medicine and Medical Sciences 2020, 10(6): 388-392.
  12. Woolfenden S., Galea C., Smithers-Sheedy H., Blair E. at all. Australian Cerebral Palsy Register Group; CP Quest. Impact of social disadvantage on cerebral palsy severity //Dev. Med. Child. Neurol. – 2018.

file

download