SMU Medical Journal

Leanid Shalkevich ¹, Olga Lvova ²

Affiliations
1 Child Neurology Department Belarusian Medical Academy of Postgraduate Education, Minsk, Brovki, 3/3 - 220013, BY
2 Child Neurology and Neonatology Department Ural State Medical University, Russia, Yekaterinburg, Repina str., 3 - 620219, RU

Abstract

problems: In the investigation of epilepsy the most attention pays to seizure as a result of increasing of body temperature. Epileptic conditions in which seizures are reduced during the febrile term are not studied.

Experimental approach: We examined 5 children with epilepsy with atypical response to the increase of body temperature as a reduction in the number and severity of seizures.

Findings: The сommon features were in all of these children onset in early childhood; intractable seizures of different types; epileptiformic changes on EEG; marked organic neurological disturbances; atrophic changes of the brain.

Conclusion: These fits allow separate the epilepsy with hyperthermic remissions in a unique epileptic syndrome.

Keywords

Febrile Seizures, Epilepsy, Pyrexial Remissions, Children.

Full Text

   

Leanid Shalkevich ¹, Alisa Kudlach ¹

Affiliations
1 Belarusian Medical Academy of Post-Graduate Education, Minsk, BY

Abstract

Research and comparative analysis of psycho-emotional state of parents of the children with chronic neurologic pathology. Level of psycho-emotional state has been studied in the 23 parents who have the children with epilepsy (research group, RG). Comparison group (CG) was made up of the 19 parents who have the children with cerebral palsy. Parameters of psycho-emotional state parents have been evaluated by performing psychological testing with the help of WAM (wellness, activity, mood) questionnaire and the Zung self-evaluation depression scale. Average points by the WAM questionnaire was 134 (Me 140, σ 30.38, m 6.33) in RG and 155.3 (Me 165, σ 28, m 6.41) in CG. The difference for groups was l 21.3 points (р<0.05). According to scales of wellness, activity and mood the average points in groups were 44.7 (Me 45, σ 8,83, m 1.84) and 52.8 (Me 56, σ 10.81, m 2.48) (points difference 8.1 (р<0.05), 44.6 (Me 45, σ 10.55, m 2.2) and 46.2 (Me 43, σ 11.61, m 2.66) (points difference is statistically uncertain) and 44.3 (Me 45, σ 13.49, m 2.81) and 56.2 (Me 61, σ 10, m 2.29) (points difference 11.9 (р<0.05) correspondingly. Odds ratio of developing low and middle level of wellbeing and mood when comparing RG and CG makes 3.918 (confidence interval (CI) 1.081-14.200) and 2.545 (CI 0.827-7.835) correspondingly (р<0,05). Average points according to the Zung scale made 41 (Me 38, σ 9.16, m 1.9) in RG and 36.7 (Me 37, σ 6.18, m 1.42) in CG. Psycho-emotional state of parents of the children with epilepsy undergoes some higher grade disorders as compared to those of parents of the children with CP.

Keywords

Epilepsy, Cerebral Palsy, Children, Parents, Psycho-Emotional State, Life Quality.

Full Text