Prevalence of the epilepsies in children and adolescents.

摘要: The prevalence of epilepsy in children and adolescents from birth through age 19 years was determined for residents two counties central Oklahoma. Cases, identified hospitals, clinics, private physicians' offices, EEG laboratory emergency room records, numbered 1,159, yielding a rate 4.71 per 1,000. highest aged 1-4 years. Overall, males had slightly higher than females (M:F = 1.1). However, the male/female ratio varied by age, with group less 1 year having 1.5), type epilepsy, rates simple partial 1.8) infantile spasms 1.5). blacks whites. Differences race were confined primarily to generalized epilepsies (B:W 1.8). most common types tonic, clonic, tonic-clonic (1.14 1,000), complex (0.39 seizures secondarily (0.33 1,000). Approximately 70% cases considered idiopathic. Among presumed causes perinatal factors (7%), trauma (4%), nervous system (CNS) infection (3%), congenital/developmental (3). Sixty-five percent at least one additional medical problem. comorbidity motor handicap (13%) developmental delay (24%).