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©The Author(s) 2021.
World J Clin Cases. Nov 26, 2021; 9(33): 10116-10125
Published online Nov 26, 2021. doi: 10.12998/wjcc.v9.i33.10116
Published online Nov 26, 2021. doi: 10.12998/wjcc.v9.i33.10116
Table 1 Electroencephalogram characteristics of children
Electroencephalogram characteristic | Number of cases | Proportion (%) |
Discharge period | ||
Awake and sleep periods | 70 | 66.04 |
Sleep period | 36 | 33.96 |
Spine/spike discharge | ||
Unilateral | 86 | 81.13 |
Bilateral | 20 | 18.87 |
Discharge generalization | 33 | 31.13 |
Table 2 Comparison of electroencephalogram characteristics of children of different sexes and ages
Group | Number of cases | Awake and sleep discharge (%) | Spike/sharp wave unilateral discharge (%) | Discharge generalization (%) |
Gender | ||||
Man | 66 | 42 (63.64) | 55 (83.33) | 19 (28.79) |
Woman | 40 | 28 (70.00) | 31 (77.50) | 14 (35.00) |
χ2 | 0.450 | 0.554 | 0.448 | |
P value | 0.502 | 0.457 | 0.503 | |
Age | ||||
≤ 7 yr | 34 | 25 (73.53) | 26 (76.47) | 11 (32.35) |
> 7 yr | 72 | 45 (62.50) | 60 (83.33) | 22 (30.56) |
χ2 | 1.253 | 0.711 | 0.035 | |
P value | 0.263 | 0.399 | 0.852 |
Table 3 Comparison of clinical data of children with and without effective treatment, n (%)
Clinical data | Treatment ineffective (n = 20) | Treatment effective (n = 86) | t/χ2 | P value |
Gender | 0.554 | 0.457 | ||
Man | 11 (55.00) | 55 (63.95) | ||
Woman | 9 (45.00) | 31 (36.05) | ||
Age (yr) | 7.15 ± 1.98 | 7.15 ± 1.80 | 0.000 | 1.000 |
Discharge period | 0.883 | 0.347 | ||
Awake and sleep periods | 15 (75.00) | 55 (63.95) | ||
Sleep period | 5 (25.00) | 31 (36.05) | ||
Spike/sharp wave discharge | 2.081 | 0.149 | ||
Unilateral | 19 (95.00) | 67 (77.91) | ||
Bilateral | 1 (5.00) | 19 (22.09) | ||
Discharge generalization | 8 (40.00) | 25 (29.07) | 0.904 | 0.342 |
Low age onset (< 5 yr) | 8 (40.00) | 6 (6.98) | 12.690 | 0.000 |
Seizure frequency | 9.582 | 0.002 | ||
> 3 times/half a year | 12 (60.00) | 21 (24.42) | ||
≤ 3 times/half a year | 8 (40.00) | 65 (75.58) | ||
Discharge index (%) | 65.05 ± 7.74 | 73.28 ± 9.17 | -3.714 | 0.000 |
Gesell scale | ||||
Gross motor (points) | 85.70 ± 6.62 | 85.28 ± 7.29 | 0.236 | 0.814 |
Fine motor (points) | 88.60 ± 5.99 | 86.62 ± 8.00 | 1.040 | 0.301 |
Adaptability (points) | 87.60 ± 7.02 | 86.08 ± 7.20 | 0.854 | 0.395 |
Language (points) | 88.15 ± 7.13 | 86.33 ± 7.92 | 0.942 | 0.348 |
Individual-social ability (points) | 85.40 ± 8.61 | 85.99 ± 8.22 | -0.287 | 0.775 |
Table 4 Results of correlation analysis
Gesell scale | Discharge index | |
r | P value | |
Gross motor | -0.014 | 0.887 |
Fine motor | -0.274 | 0.005 |
Adaptability | -0.068 | 0.488 |
Language | -0.247 | 0.011 |
Individual-social ability | 0.098 | 0.316 |
Table 5 Results of multivariate analysis
Index | β | SE | Wals | P value | OR (95%CI) |
Incidence at a young age (< 5 yr) | 2.425 | 0.696 | 12.131 | 0.000 | 11.304 (2.888-44.251) |
Attack frequency | 1.755 | 0.593 | 8.760 | 0.003 | 5.784 (1.809-18.490) |
Constant term | -2.686 | 0.480 | 31.254 | 0.000 | - |
Table 6 Comparison of discharge index and Gesell scale scores between treatment-effective and treatment-ineffective children before and after treatment
Index | Treatment ineffective (n = 20) | Treatment effective (n = 86) | t | P value |
Discharge index (%) | ||||
Before treatment | 65.05 ± 7.74 | 73.28 ± 9.17 | -3.714 | 0.000 |
After treatment | 40.15 ± 5.36 | 34.47 ± 10.02 | 2.449 | 0.016 |
t | 11.828 | 26.498 | ||
P value | 0.000 | 0.000 | ||
Gross motor (points) | ||||
Before treatment | 85.70 ± 6.62 | 85.28 ± 7.29 | 0.236 | 0.814 |
After treatment | 85.90 ± 5.47 | 86.20 ± 6.47 | -0.192 | 0.848 |
t | -0.104 | -0.875 | ||
P value | 0.918 | 0.383 | ||
Fine motor (points) | ||||
Before treatment | 88.60 ± 5.99 | 86.62 ± 8.00 | 1.040 | 0.301 |
After treatment | 91.20 ± 2.69 | 89.24 ± 5.29 | 1.605 | 0.111 |
t | -1.771 | -2.533 | ||
P value | 0.085 | 0.012 | ||
Adaptability (points) | ||||
Before treatment | 87.60 ± 7.02 | 86.08 ± 7.20 | 0.854 | 0.395 |
After treatment | 88.50 ± 5.04 | 88.26 ± 5.38 | 0.182 | 0.856 |
t | -0.466 | -2.249 | ||
P value | 0.644 | 0.026 | ||
Language (points) | ||||
Before treatment | 88.15 ± 7.13 | 86.33 ± 7.92 | 0.942 | 0.348 |
After treatment | 89.35 ± 6.02 | 88.55 ± 5.99 | 0.537 | 0.592 |
t | -0.575 | -2.073 | ||
P value | 0.569 | 0.040 | ||
Personal-social ability (points) | ||||
Before treatment | 85.40 ± 8.61 | 85.99 ± 8.22 | -0.287 | 0.775 |
After treatment | 86.95 ± 6.78 | 87.91 ± 6.27 | -0.607 | 0.545 |
t | -0.633 | -1.722 | ||
P value | 0.531 | 0.087 |
- Citation: Chen RH, Li BF, Wen JH, Zhong CL, Ji MM. Clinical and electroencephalogram characteristics and treatment outcomes in children with benign epilepsy and centrotemporal spikes. World J Clin Cases 2021; 9(33): 10116-10125
- URL: https://www.wjgnet.com/2307-8960/full/v9/i33/10116.htm
- DOI: https://dx.doi.org/10.12998/wjcc.v9.i33.10116