UNASSIGNED: Here, we report two patients with cerebral palsy combined with epilepsy, whose age at onset, seizure semiology and electroclinical features were similar to children with self-limited childhood-specific seizure disorders (childhood epilepsy with centrotemporal spikes and Panayiotopoulos syndrome).
UNASSIGNED: These cases highlight the importance of comprehensive differential diagnosis of seizures in cerebral palsy. Co-existence of age-dependent focal epilepsies with an underlying brain pathology as white matter injury, not affecting the cerebral cortex, might take place in the case of children with impaired motor skills. With health systems increasingly utilizing clinical pathways, it is important to consider the possibility of a self-limited childhood epilepsy and avoid aggressive and unnecessary medication treatment in children with cerebral palsy.
■这里,我们报告了两名脑瘫合并癫痫患者,其发病年龄,癫痫发作的符号学和临床电特征与患有自限性儿童特异性癫痫发作障碍(伴有中央颞区尖峰和Panayiotopoulos综合征的儿童癫痫)的儿童相似.
■这些病例突出了对脑瘫癫痫发作进行综合鉴别诊断的重要性。年龄依赖性局灶性癫痫与脑白质损伤的潜在病理共存,不会影响大脑皮层,可能发生在运动技能受损的儿童的情况下。随着卫生系统越来越多地利用临床路径,重要的是要考虑儿童自限性癫痫的可能性,并避免对脑瘫儿童进行积极和不必要的药物治疗.