Epilepsia parcial associada a tumores cerebrais primários

Abstract

To characterize the epileptic syndrome of patients with primary cerebral tumor of slow growth. Clinical evaluation of fourty two patients with refractory epilepsy associated with cerebral tumor of slow growth were operated between June 1992 and September 1999. Almost 75% of the patients were less than 15 years old when they began the epileptic crises, 67.7% had normal neurological exam in the first evaluation. More than 90% of the total had seizures of the partial complex type, frequently inferior to 16 per month. The seizures were partial simple (PS) developing for partial complex (PC) in 10 patient and only PC in 11 Partial complex associated with generalized tonic-clonic seizure (GTC) happened in 11 patients, PS for PC and GTC in 4 patients. The crises of the partial type, with not very high frequency, can suggest a precocious manifestation of the tumor in the children, even with normal neurological exam.