Duchenne muscular dystrophy and epilepsy

被引:52
作者
Pane, M. [1 ]
Messina, S. [2 ]
Bruno, C. [3 ]
D'Amico, A. [4 ]
Villanova, M. [5 ]
Brancalion, B. [5 ]
Sivo, S. [1 ]
Bianco, F. [1 ]
Striano, P. [3 ]
Battaglia, D. [1 ]
Letiori, D. [1 ]
Vita, G. L. [2 ]
Bertini, E. [4 ]
Gualandi, F. [6 ]
Ricotti, V. [7 ]
Ferlini, A. [6 ]
Mercuri, E. [1 ]
机构
[1] Univ Cattolica Sacro Cuore, Dept Pediat Neurol, I-00168 Rome, Italy
[2] Univ Messina, Dept Neurosci Psychiat & Anesthesiol, I-98100 Messina, Italy
[3] G Gaslini Inst Children, Neuromuscular Dis Unit, Genoa, Italy
[4] Bambino Gesu Pediat Hosp, Dept Lab Med, Mol Med Unit, Rome, Italy
[5] Nigrisoli Hosp, Neuromuscular Rehabil Unit, Bologna, Italy
[6] Univ Ferrara, Dept Expt & Diagnost Med, Med Genet Sect, I-44100 Ferrara, Italy
[7] UCL, Inst Child Hlth, Dubowitz Neuromuscular Ctr, London, England
关键词
Duchenne muscular dystrophy; Epilepsy;
D O I
10.1016/j.nmd.2013.01.011
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Cognitive and behavioral difficulties occur in approximately a third of patients with Duchenne muscular dystrophy. The aim of our study was to assess the prevalence of epilepsy in a cohort of 222 DMD patients. Epileptic seizures were found in 14 of the 222 DMD patients (6.3%). The age of onset ranged from 3 months to 16 years (mean 7.8). Seizures were more often focal epilepsy (n = 6), generalized tonic-clonic seizures (n = 4) or absences (n = 4). They were present in 12 of the 149 boys with normal IQ (8.1%) and in two of the 73 with mental retardation (2.7%). In two cases the parents did not report any past or present history of seizures but only 'staring episodes' interpreted as a sign of 'poor attention'. In both patients EEG showed the typical pattern observed in childhood absence epilepsy. Our results suggest that the prevalence of epilepsy in our study (6.3%) is higher than in the general pediatric population (0.5-1%). The risk of epilepsy does not appear to increase in patients with mental retardation. (c) 2013 Published by Elsevier B.V.
引用
收藏
页码:313 / 315
页数:3
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