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Child's Nervous System

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01-07-2004 | Original Paper

Observation of continuous spike-waves during slow sleep in children with myelomeningocele

Authors: D. Battaglia, C. Acquafondata, D. Lettori, T. Tartaglione, V. Donvito, S. Staccioli, A. Mittica, F. Guzzetta

Published in: Child's Nervous System | Issue 7/2004

Abstract

Cases

Two patients with myelomeningoceles (MMC) and shunt-treated hydrocephalus are reported. At 5 and 7 years respectively, when they began presenting mental deterioration and behavioural disorders, sleep EEG showed continuous spike-waves during slow sleep (CSWS).

Discussion

These are the first cases of CSWS described in patients with MMC. The mechanisms of CSWS are considered. The role of hydrocephalus and the thalamic injuries found in one of the patients is discussed in detail. The usefulness of monitoring sleep EEG in patients with hydrocephalus or thalamic lesions is stressed, considering the effects of CSWS on the cognitive competencies and the soft or subclinical course that epilepsy complicated with CSWS may follow.

Bartoshesky LE, Haller J, Scott RM, Wojick C (1985) Seizures in children with myelomeningocele. Am J Dis Child 139:400–402PubMed

Beaumanoir A (1995) EEG data. In: Beaumanoir A, Bureau M, Deonna T, Mira L, Tassinari CA (eds) Continuous spikes and waves during slow sleep. Electrical status epilepticus during slow sleep. Libbey, London, pp 217–223

Chadduck W, Adametz J (1988) Incidence of seizures in patients with myelomeningocele: a multifactorial analysis. Surg Neurol 30:281–285PubMed

Dalla Bernardina B, Fontana E, Michelizza B, Colamaria V, Capovilla G, Tassinari CA (1989) Partial epilepsies of childhood, bilateral synchronisation, continuous spike-waves during slow sleep. In: Manelis J, Bental E, Loeber JN, Dreifuss FE (eds) Advances in epileptology: XVII Epilepsy International Symposium. Raven, New York, pp 295–302

Dan NG, Wade MJ (1986) The incidence of epilepsy after ventricular shunting procedures. J Neurosurg 65:19–21PubMed

Di Rocco C, Iannelli A, Pallini R, Rinaldi A (1985) Epilepsy and its correlation with cerebral ventricular shunting procedures in infantile hydrocephalus. J Pediatr Neurosci 1:255–263

Engel J Jr (2001) A proposed diagnostic scheme for people with epileptic seizures and with epilepsy. Report of the ILAE task force on classification and terminology. Epilepsia 42:769–803

Giovanardi Rossi P, Parmeggiani A, Posar A, Scaduto MC, Chiodo S, Vatti G (1999) Landau–Kleffner syndrome (LKS): long-term follow-up and links with electrical status epilepticus during sleep (ESES). Brain Dev 21:90–98CrossRefPubMed

Hack CH, Enrile BG, Donat JF, Kosnik E (1990) Seizures in relation to shunt dysfunction in children with myelomeningocele. J Pediatr 116:57–60PubMed

10.

Incorpora G, Pavone P, Smilari PG, Trifiletti R, Parano E (1999) Late primary unilateral thalamic haemorrhage in infancy: report of two cases. Neuropediatrics 30:264–267PubMed

11.

Ines DF, Markand ON (1977) Epileptic seizures and abnormal electroencephalographic findings in hydrocephalus and their relation to the shunting procedures. Electroencephalogr Clin Neurophysiol 42:761–768CrossRefPubMed

12.

Monteiro JP, Roulet-Perez E, Davidoff V, Deonna T (2001) Primary neonatal thalamic haemorrhage and epilepsy with continuous spike-wave during sleep: a longitudinal follow-up of a possible significant relation. Eur J Paediatr Neurol 5:41–47CrossRefPubMed

13.

Morikawa T, Seino M, Watanabe M, Yagi K (1989) Clinical relevance of continuous spike-waves during slow wave sleep. In: Manelis S, Bental E, Loeber JN, Dreifuss FE (eds) Advances in epileptology. Raven, New York, pp 359–363

14.

Morrell F (1995) Electrophysiology of ESES in Landau–Kleffner syndrome. In: Beaumanoir A, Bureau M, Deonna T, Mira L, Tassinari CA (eds) Continuous spikes and waves during slow sleep. Electrical status epilepticus during sleep. Libbey, London, pp 77–90

15.

Notzel MJ, Blake JN (1991) Prognosis for seizure control and remission in children with myelomeningocele. Dev Med Child Neurol 33:803–810PubMed

16.

Steriade M, Contreras D (1998) Spike-wave complexes and fast components of cortically generated seizures. I. Role of neocortex and thalamus. J Neurophysiol 80:1439–1455PubMed

17.

Talwar D, Baldwin MA, Horbatt CI (1995) Epilepsy in children with myelomeningocele. Pediatr Neurol 13:29–32CrossRefPubMed

18.

Tassinari CA, Rubboli G, Volpi L, Billard C, Bureau M (2002) Electrical status epilepticus during slow sleep (ESES or CSWS) including acquired epileptic aphasia (Landau-Kleffner syndrome). In: Roger J, Bureau M, Dravet C, Genton P, Tassinari CA, Wolf P (eds) Epileptic syndromes in infancy, childhood and adolescence. Libbey, London, pp 265–283

19.

Varfis G, Berney J, Beaumanoir A (1977) Electroclinical follow-up of shunted hydrocephalic children. Childs Brain 3:129–139PubMed

20.

Veggiotti P, Beccaria F, Papalia G, Termine C, Piazza F, Lanzi G (1998) Continuous spikes and waves during sleep in children with shunted hydrocephalus. Childs Nerv Syst 14:188–194CrossRefPubMed

21.

Veggiotti P, Beccaria F, Guerrini R, Capovilla G, Lanzi G (1999) Continuous spike-and-wave activity during slow sleep: syndrome or EEG pattern? Epilepsia 40:1593–1601PubMed

22.

Yashuara A, Yoshida H, Hatanaka T, Suigimoto T, Kobashi Y, Dyken E (1991) Epilepsy with continuous spike-waves during slow sleep and its treatment. Epilepsia 32:59–62PubMed

Title: Observation of continuous spike-waves during slow sleep in children with myelomeningocele
Authors: D. Battaglia
C. Acquafondata
D. Lettori
T. Tartaglione
V. Donvito
S. Staccioli
A. Mittica
F. Guzzetta
Publication date: 01-07-2004
Publisher: Springer-Verlag
Published in: Child's Nervous System / Issue 7/2004
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-004-0956-9

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Springer Medicine

Observation of continuous spike-waves during slow sleep in children with myelomeningocele

Abstract

Cases

Discussion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Cases

Discussion

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