机构:[1]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing重点科室诊疗科室神经外科神经外科首都医科大学附属天坛医院[2]China National Clinical Research Center for Neurological Diseases, Beijing[3]Center of Stroke, Beijing Institute for Brain Disorders, Beijing, People’s Republic of China.
Objective: We aimed to explore the risk factors of seizure recurrence and the optimal surgical procedure for epileptic pediatric patients with moyamoya disease (MMD). Methods: We reviewed 696 consecutive patients with MMD admitted to our hospital from 2009 to 2015. Pediatric patients with MMD who had seizures before revascularization were identified. We summarized the characteristics of seizures in pediatric patients with MMD and analyzed the predictive factors of recurrent seizure events. Results: We identified 28 pediatric patients with MMD who had seizures before revascularization. During follow-up (median 42 months), 7 patients (25.0%) experienced recurrent seizures. In the multivariate analysis, the duration of epilepsy was an independent predictor for postoperative seizure recurrences (odds ratio 3.84, 95% confidence interval 1.54-24.34; P = .035). The 2 common surgical modalities of MMD (direct and indirect bypass) had no significant difference in future seizure prevention in pediatric patients with MMD with epilepsy. Conclusions: We identified the duration of epilepsy as an independent risk factor for recurrent seizure after revascularization in pediatric patients with MMD.
基金:
"13th Five-Year Plan" National Science and Technology Supporting Plan [2015BAI12B04]; National Natural Science Foundation of ChinaNational Natural Science Foundation of China [81371292]; Beijing Municipal Administration of Hospitals' Mission Plan [SML20150501]
第一作者机构:[1]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing[2]China National Clinical Research Center for Neurological Diseases, Beijing[3]Center of Stroke, Beijing Institute for Brain Disorders, Beijing, People’s Republic of China.
共同第一作者:
通讯作者:
通讯机构:[1]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing[2]China National Clinical Research Center for Neurological Diseases, Beijing[3]Center of Stroke, Beijing Institute for Brain Disorders, Beijing, People’s Republic of China.[*1]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University. No. 6 Tiantanxili, Dongcheng District, Beijing, China, 100050
推荐引用方式(GB/T 7714):
Yonggang Ma ,Meng Zhao ,Qian Zhang ,et al.Risk Factors for Epilepsy Recurrence after Revascularization in Pediatric Patients with Moyamoya Disease[J].JOURNAL OF STROKE & CEREBROVASCULAR DISEASES.2018,27(3):740-746.doi:10.1016/j.jstrokecerebrovasdis.2017.10.012.
APA:
Yonggang Ma,,Meng Zhao,,Qian Zhang,,Xingju Liu,,Dong Zhang,...&Jizong Zhao.(2018).Risk Factors for Epilepsy Recurrence after Revascularization in Pediatric Patients with Moyamoya Disease.JOURNAL OF STROKE & CEREBROVASCULAR DISEASES,27,(3)
MLA:
Yonggang Ma,,et al."Risk Factors for Epilepsy Recurrence after Revascularization in Pediatric Patients with Moyamoya Disease".JOURNAL OF STROKE & CEREBROVASCULAR DISEASES 27..3(2018):740-746