[Diagnosis of nonepileptic fits and differentiation from epilepsy on the basis of interviews and clinical symptoms].
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Biomedical subjects
Publications and source records attributed to Z Losiowski.
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A long-term prospective study was carried out of 133 children diagnosed as having epilepsy in the first year of life, of whom two-thirds had West syndrome and one-third had other forms of epilepsy. They were followed for a minimum of three years (half for over seven years), during which time 15 children died. Of the 118 surviving, 54 had an IQ of > 70, but 53 were severely mentally impaired, of whom two-thirds had West syndrome. Only 56 per cent currently have no seizures, and no significant differences were found in this respect between children with West syndrome and those with other forms of epilepsy. Regression in mental development occurred significantly more frequently among children with active epilepsy. These results lead to the conclusion that the degree and type of central nervous system damage existing at the onset of epilepsy is decisive for the outcome of the child, but the cessation of epileptic seizures also improves the child's developmental possibilities.
The study undertaken for assessment of the frequency of education difficulties and adaptation to school situation in elementary school is a continuation of previous studies on the frequency of neurological disturbances and psychomotor retardation in children with neurological abnormalities observed during the first days of life. In children with these early neurological abnormalities (n = 82) more frequent presence of educational difficulties and disturbances in adaptation to the situation in school were noted, in relation to controls (n = 84).
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