Kết quả phân loại động kinh trẻ em theo ILAE 2017 tại Bệnh viện Đa khoa Xanh Pôn

Abstract

This study applied the 2017 International League Against Epilepsy (ILAE) classification system to categorize pediatric epilepsy patients at Saint Paul General Hospital. A cross-sectional study was conducted on 249 pediatric patients from September 2023 to August 2024. The results demonstrated that 100% of seizure onset types were classified. Focal onset seizures were the most prevalent, representing 46.3%, with focal impaired awareness seizures being the most common subtype (42.5%). Generalized-onset and unknown-onset seizures accounted for 29.7% and 23.9%, respectively. Regarding epilepsy classification, focal epilepsy was the most common type (51.8%), while generalized epilepsy and combined focal and generalized epilepsy accounted for 38.2% and 10%, respectively. Epilepsy syndromes were identified in 22.4% of cases, with benign Rolandic epilepsy being the most frequently diagnosed syndrome (7.2%). An identifiable etiology was found in 31.3% of cases, with structural brain abnormalities being the most common cause (24.5%). These findings support the feasibility of the 2017 ILAE epilepsy classification system in accurately categorizing seizure onset, thereby facilitating effective treatment planning for pediatric epilepsy patients.