Myoclonic epilepsies in pediatrics
Correspondencia: Dr. Carlos Medina-Malo. PO Box 057751. Santafé de Bogotá, Colombia.
E-mail: medinamalo@epilepsia.org
Introduction: In our environment the frequency of epilepsy is 1.9% and in the central anti-epilepsy league (LICCE) of Santafé de Bogotá, Colombia, some 1,500 patients are attended each month (approximately 75 daily), of which an average of 7.2 consulted for the first time.
Development: This article about myoclonic epilepsy in paediatrics allows the clinician to have a general view of the patient who consults for the first time, facilitating his subsequent treatment. We emphasize the etiological classification of the first crises, seeking specifically to discover whether it is a disorder, a sequela, a syndrome or an isolated crisis. We present the basic definitions: classification according to physiology, anatomy, symptomatology (epileptic or nonepileptic), cryptogenetics (intermediate or polymorphic) and benign, severe or progressive.
Conclusion: Finally we draw attention to the description of fifteen syndromes in which the clinical picture of progressive, myoclonic epilepsy is variable and the aetiology complicated.
Desarrollo Este artículo sobre epilepsias mioclónicas en pediatría (EMP) permite al clínico enfocar, con una óptica general, el problema del paciente que consulta por primera vez y facilita su tratamiento posterior. Se pone énfasis en la clasificación etiológica de la primera crisis buscando especificar si se trata de un desorden, una secuela, un síndrome o una crisis aislada. Presentamos las definiciones básicas: clasificación por fisiología; anatomía y semiología epiléptica o no epiléptica; criptogenética, intermedia o polimórfica, y benigna, grave o progresiva.
Conclusión Destacamos la descripción de quince síndromes en los cuales el cuadro de la epilepsia mioclónica progresiva es variable y de etiología complicada
