Muhammad Saeed, Sarfraz Alam, Muhammad Akbar Malik, Tariq Bhatti.
Frequency and types of epilepsy in children with cerebral palsy (CP).
Pak Paed J Jan ;35(1):20-4.

Objective: To study the frequency and spectrum of epilepsy in children with cerebral palsy. Place and Duration of Study: The study was conducted at The Children’s Hospital and The Institute of Child Health, Lahore and Jinnah hospital, Lahore over a period of two years from 2007 to 2009. Study Design: This was a retrospective analysis of children with cerebral palsy treated at The Children’s Hospital and The Institute of Child Health, and Jinnah Hospital Lahore. A total of 300 patients with cerebral palsy (CP) were studied to determine the correlation between the prevalence of epilepsy and correlation of epilepsy in different types of cerebral palsies. Results: The overall frequency of epilepsy in children with CP was 58.6%. The frequency of epilepsy was predominant in patients with spastic quapriplegic (71.5%), diplegic (69%), hemiplegic (65%), and mixed (48%) cerebral palsies. Generalized tonic-clonic seizures were the most common seizure type (75%) predominant in spastic-quadriplegic, diplegic cerebral palsies. On the other hand. partial seizures( 22%) were associated frequently with hemiplegic, monoplegic and mixed types of cerebral palsies. Mixed type of epilepsy was seen in (2.7%) of the patients. Conclusion: CP is associated with a higher frequency of epilepsy. Majority of the patients had onset of seizures in the first year of life. Among the cerebral palsies spastic quadriplegic group being most affected. Generalized Tonic-clonic epilepsy was more frequently associated with spastic quadriplegic, and diplegic type of CPs. Partial epilepsy was most frequently associated with hemiplegic, monoplegic and mixed cerebral palsies.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com