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 [PMID: 34904081 DOI: 10.12998/wjcc.v9.i33.10116]
Corresponding Author of This Article
Bing-Fei Li, BMed, Chief Physician, Department of Pediatrics, Ganzhou Maternal and Child Health Hospital, No. 106 Dagong Road, Zhanggong District, Ganzhou 341000, Jiangxi Province, China. jxgzlbf2021@126.com
Research Domain of This Article
Clinical Neurology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Nov 26, 2021; 9(33): 10116-10125 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