Idade de aparecimento e desaparecimento das pontas rolândicas em 160 crianças acompanhadas ambulatorialmente: estudo atuarial

Borges, Moacir Alves; Godoy, Moacir Fernandes de; Scarabel, Marcelo

doi:10.1590/s0004-282x1999000500010

Cited by 5 publications

(4 citation statements)

References 18 publications

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“…Among the 31 cases of EEGs showing rolandic spikes without concomitant seizures in our sample, there was a predominance of behavioral problems, most frequently ADHD, followed by headaches, which is in agreement with previous findings 29 . The presence of one child with Rett syndrome, and of another child with autism in our sample, both with concomitant rolandic spikes, is not surprising.…”

Section: Discussionsupporting

confidence: 93%

“…In our sample, sleep and awake EEGs were performed in 51.6% the cases; awake EEGs in 31.7%; and sleep EEGs in 16.7%; these results are similar to those obtained by Shinnar et al 28 . Amongst us, Borges et al 29 carried out a nine-year prospective study of 412 EEGs with rolandic spikes from 160 children with or without epilepsy. Surprisingly, 84.4% of the recordings in that prospective study were carried out in the awake state, despite the fact that the study's objective was to evaluate the natural history of rolandic spikes.…”

Section: Discussionmentioning

confidence: 99%

“…In terms of intensity and amplitude of the rolandic spike, in addition to a time-dependent evolution, it is known that the passing of time may also determine a migration of paroxysms from one side of the brain to the other in the case of unilateral spikes, or even a temporary disappearance with posterior reappearance 11,26,29 . In our study, we proposed that bilateral rolandic spikes would be one of the criteria for electrographic benignity for BRE.…”

Section: Discussionmentioning

confidence: 99%

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Benign rolandic epilepsy: clinical and electroencephalographic correlates

Riesgo

Jayakar

Rotta

2000

Arq. Neuro-Psiquiatr.

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Benign rolandic epilepsy (BRE) is known for its dissociation from structural alterations. Nevertheless, the number of cases with reported organic lesions has been increasing. This led to the creation of two subgroups, "benign" and "non benign" BRE, and resulted in the need for additional parameters to define electrographic benignity. We assessed the possible associations between interictal electroencephalographic findings and clinical behavior in 60 BRE cases, testing four parameters of electrographic benignity (paroxysm morphology, horizontal dipole, base rhythms, laterality of rolandic spikes). We also assessed the relationship between neuroimaging findings and electrographic and clinical classifications, and found a statistically significant association (sensitivity=73.5%; specificity=81.8%; positive predictive value=94.8%; negative predictive value=40.9%). Three of the electrographic parameters proposed were associated with clinical classification: paroxysm morphology, horizontal dipole, and base rhythms. Cases electrographically classified as benign have 21 times more chances to be equally classified as clinically benign according with the tested criteria.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Benign rolandic epilepsy: clinical and electroencephalographic correlates

Riesgo

Jayakar

Rotta

2000

Arq. Neuro-Psiquiatr.

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“…The five age groups studied, two of which are related to children, took into consideration the period in which the main symptoms of idiopathic epilepsy appear 29 . In this study, a strong association between the prevalence of epilepsy and age was demonstrated.…”

Section: Discussionmentioning

confidence: 99%

Urban prevalence of epilepsy: populational study in São José do Rio Preto, a medium-sized city in Brazil

Borges

Guerreiro

et al. 2004

Arq. Neuro-Psiquiatr.

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-The aim of this study was to determine the prevalence of epilepsy in the urban population of São José do Rio Preto. This is a medium-sized city of 336000 inhabitants, located in the northwest of the state of São Paulo, Brazil. Method:A cross-sectional epidemiological investigation with a randomized sample was performed in two phases, a screening phase and a confirmation of the diagnosis phase. The gold standard was a clinical investigation and neurological examination. The chi-square test was used in analysis of the results and p-value value < 0.05 was considered significant. Prevalence was calculated with 95% confidence interval. Results: The study sample size was 17293 individuals, with distributions of gender, age, and race similar to the general population.The prevalence per 1000 inhabitants of epilepsy was 18.6, of these 8.2 were active, defined as at least one seizure within the last two years. The prevalence per 1000 inhabitants for the age groups (years) was 4.9 (0-4), 11.7 (5-14), 20.3 (15-64) and 32.8 (65 or over). Conclusion: Prevalence of both accumulated and active epilepsy was elevated, comparable to other developing nations, in particular those of Latin America. However, the prevalence of epilepsy in childhood was low, whilst in aged individuals it was high similar to industrialized nations.KEY WORDS: epilepsy, epidemiology, prevalence, Latin America. Prevalência urbana da epilepsia: estudo populacional em São José do Rio Preto -cidade de médio porte do BrasilRESUMO -Antecedentes: O objetivo deste estudo foi determinar a prevalência da epilepsia na população urbana de São José do Rio Preto, com 336000 habitantes, localizada no noroeste do Estado de São Paulo/ Brasil. Método: O estudo populacional, tipo corte transversal, em amostra aleatória, constituiu-se de uma fase de rastreamento, mediante um questionário. O padrão ouro para confirmação diagnóstica foi a história clínica e o exame neurológico. Os testes do χ 2 e intervalo de confiança de 95% (IC-95%) foram usados para análise dos resultados, tendo sido considerados significantes os de valor p≤ 0,05. Resultados:A amostra estudada foi de 17293 pessoas, cuja distribuição quanto ao sexo, à faixa etária e à raça foram semelhantes à da população em geral. A prevalência de epilepsia por 1000 hab. foi 18,6, sendo 8,2 para ativa considerando-se, pelo menos, uma crise no período dos últi-mos 2 anos. A prevalência na faixa etária de 0 a 4 anos foi 4,9, de 5 a 14, 11,7; de 15 a 64, 20,3; e acima dos 65 anos foi 32,8. Conclusão: As prevalências de epilepsia acumulada e ativa foram elevadas, semelhantes às dos países em desenvolvimento, em particular, aos da América Latina. A prevalência de epilepsia na infância foi baixa, enquanto que nos idosos foi elevada, semelhantes às observadas em países desenvolvidos. Estes resultados são relevantes no planejamento de medidas sanitárias, adequação ao tratamento da população, considerando a alta prevalência encontrada, para minimizar o impacto da epilepsia na população.

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