Epilepsia Partialis Continua 4례에 대한 임상적 고찰

Clinical Study of Epilepsia Partialis Continua (4 cases)

Epilepsia partialis continua (EPC) first deseribed by Kojewnikow is rare form of focal epilepsy characterised by partial somato-motor status epilepticus due to barious lesions of the motor cortex. In this study, we reviewed the 4 cases on their clinical features, imaging studies, elecrtoencephalographic findings and their treatments. The results were as follows: 1. The range of age was from 2 to 9 years, male and female were 2 cases each other. 2. The initial seizure types were generalized tonic clonic seizure (2 cases), complex febrile convulsion(1 case) and focal seizure (1case). 3. The motor weakness was associated in 3 cases. 4. The EEG findings were asymmetric voltage suppression (3 cases) and multiple spikes or slow waves on one hemisphere in all 4 cases. 5. The MRI findings showed signal alterations on involved areas. 6. The brain 99mTc SPECT was performed in 3 cases, detected hypoperfusion on lesion sites. 7. There were no effective anticonvulsants, only one patient treated with intravenous immunoglobulin and the seizure was slightly improved.