Comparison of clinical, electroencephalographic and tomographic data in children with epilepsy with controlled and uncontrolled seizures

Abstract

The article presents the results of a examination of 124 children with epilepsy aged 1 month to 18 years to detect clinical electroencephalographic (EEG) and tomographic correlations in patients with controlled and uncontrolled seizures. It was shown that clinical manifestations (seizure types) are not always correlated with local changes on EEG and focus on MRI. In children, especially with uncontrolled seizures, even in the case of a focal onset of the seizure, secondary generalization is often observed, which is due to the functional immaturity of the brain and the tendency to rapid generalization of the epileptic potential. In general, the coincidence between the EEG data and morphological MRI is determined in 66 % of patients, when performing high-fi eld magnetic resonance tomography (on devices with a magnetic fi eld of 1.5 T or more) in the "Epilepsy" mode — in 71 %, and using MR-spectroscopy rises to 73 %. Key words: children, epilepsy, EEG, MRI