Childhood absence epilepsy: Evolution and prognostic factors

Salvatore Grosso, Daniela Galimberti, Piero Vezzosi, Mariangela Farnetani, Rosanna Maria Di Bartolo, Simone Bazzotti, Guido Morgese, Paolo Balestri

Research output: Contribution to journalArticle

Abstract

Purpose: To evaluate how diagnostic criteria influence remission rates for patients with childhood absence epilepsy (CAE) and to assess clinical and EEG parameters as predictors of outcome. Methods: One hundred nineteen patients were diagnosed with CAE, according to International League Against Epilepsy (ILAE) classification criteria. They were subsequently evaluated according to stricter diagnostic criteria. Sixty-two subjects fulfilled these criteria as group 2; 57 did not and constituted group 1. Diagnostic parameters that prevented patients of group 1 from entering group 2, and variables such as sex, familial history of generalized epilepsy, and personal history of febrile convulsions also were tested as prognostic factors for terminal remission. Results: Compared with those in group 1, patients of group 2 had significantly higher rates of seizure control (95% vs. 77%), higher rates of terminal remission (82% vs. 51%), fewer generalized tonic-clonic seizures (8% vs. 30%), and shorter mean periods of treatment (2.2 vs. 3.8 years). Significantly fewer patients were receiving polytherapy in group 2 than in group 1 (11% vs. 47%), and fewer patients had seizure relapses at antiepileptic drug discontinuation (0 vs. 22%). Conclusions: Remission rates of patients with CAE are greatly influenced by the classification criteria used for selection. Stricter diagnostic criteria allow the definition of a homogeneous group of patients with excellent prognosis. Factors predicting unfavorable prognosis were generalized tonic-clonic seizures in the active stage of absences, myoclonic jerks, eyelid myoclonia or perioral myoclonia, and EEG features atypical for CAE.

Original languageEnglish
Pages (from-to)1796-1801
Number of pages6
JournalEpilepsia
Volume46
Issue number11
DOIs
Publication statusPublished - Nov 2005

Keywords

  • Epilepsy
  • Outcome
  • Prognostic factors
  • Typical absence

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

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    Grosso, S., Galimberti, D., Vezzosi, P., Farnetani, M., Di Bartolo, R. M., Bazzotti, S., Morgese, G., & Balestri, P. (2005). Childhood absence epilepsy: Evolution and prognostic factors. Epilepsia, 46(11), 1796-1801. https://doi.org/10.1111/j.1528-1167.2005.00277.x