NGHIÊN CỨU LÂM SÀNG, HÌNH ẢNH ĐIỆN NÃO ĐỒ TRONG BỆNH ĐỘNG KINH Ở TRẺ EM TỪ 01 THÁNG ĐẾN 15 TUỔI TẠI BỆNH VIỆN NHI ĐỒNG CẦN THƠ NĂM 2023-2025

Abstract

Background: Epilepsy is a common neurological disorder in children, characterized by recurrent seizures and diverse clinical manifestations. The disease significantly affects motor function, mental health, and quality of life of affected children, while also imposing a social burden. Therefore, early detection and effective intervention are essential. Objective: To describe the clinical features and interictal electroencephalogram (EEG) findings of children with epilepsy at Can Tho Children's Hospital. Materials and methods: Cross-sectional descriptive study on 127 patients diagnosed with epilepsy and undergoing epilepsy treatment from May 2023 to January 2025. Results: The majority of children with epilepsy were over 60 months old, with females accounting for 56.7%. Most had no family history of epilepsy (91.3%), and 28.3% presented with psychomotor developmental delay. Generalized seizures accounted for 77.2%, which was more common than focal seizures (22.8%). Interictal EEG recordings were predominantly normal (63%), and when epileptic discharges were present, they were mainly localized in the right cerebral hemisphere. Conclusion: Children with epilepsy predominantly experienced generalized seizures, mostly over 60 months of age, with a higher proportion of females. Psychomotor developmental delay was associated with generalized seizures. Interictal EEGs were mostly normal, with epileptiform abnormalities mainly found in the right hemisphere.