Gutiérrez MJ, Villegas PH, Solórzano GE, Hernández RV

Language: Spanish
References: 14
Page: 111-116
PDF size: 177.45 Kb.

ABSTRACT

Objective. To determine more frequent disorders in family, scholastic, and social acceptance in patients from Mexico City and 3 provincial cities. Material and method. It is a prospective, transverse, descriptive, comparative and observational communication. We elaborated a survey with demographic data, of the birth, development, religion, family atmosphere, and scholastic when it there was. Syndromatic epileptic diagnosis was established with clinic and electroencephalographic evaluation with a minimal evolution of six months. It was applied to parents or tutors. Results. One hundred and eighty nine patients studied, 100 from Mexico City and 89 from province. One hundred and two men and 87 women. Epilepsy was classified as benign (122 = 64%) and malignant (63 = 35.4%) according to repercution on neurodevelopment. Catholics 180 (95.2%) and 9 (4.8%) another one. Marriages 138 (73%), free unions 28 (14.8%) disintegrated by paternal abandonment 18 (9.5%), widowhod 5 (2.6%). Planned pregnancies 135 (71.4%). Conjugal disorder 52 (27.5%): paternal indifference and alcoholism, couple irresponsibility. Acceptance by functional families 154 (81.5%). Rejections by: brothers 5, grandparents 5 and neighborns 6. These associated to unplanned pregnancies, dysfunctional families mental retardation and uncontrolled epilepsy.

REFERENCES

1. Hauser A, Annegers F. Epidemiology of acute Symptomatic seizures. In: Epilepsy a comprehensive Textbook. Edited by J. Engel Jr and T.A. Pedley. Lippincott-Raven Publishers, Philadelphia 1998; 87-91.

2. Steinhausen HC, Losche G. The psychological development of children of epileptic parents. I. Study, design and comparative findings Acta Paediatrics 1994; 83: 955-960.

3. Williams J, Grant M. Behavioral descriptors that differentiate between seizure and nonseizure events in a Pediatric population. Clinical Pediatrics, 1996: 243-249.

4. Joyce A, Cramer BS. Quality of life for people with epilepsy Neurolog Clinics 1994; 12(1): 3-13.

5. Laybourn A Hill M. Children with epilepsy and their families: needs and services. Child care Health and Developmental 1994; 20:1-14.

6. Holworth L, Whitmore K. A study children with epilepsy attending ordinary schools. II: lnformation and attitudes held by their teachers: Develop Med Child Neurol 1974; 16: 759-765.

7. Hoese P, Russell M. The quality of life of children with chronic epilepsy and their families. Preliminary findings with a new assessment measure. Develop Med Child Neurol 1995; 37: 689-696.

8. Pellock JM. Clínicas Pediátricas de Norteamérica, vol 2. Trastornos convulsivos 1989. México, DF, Editorial Interamericana.

9. Sturniolo MG. Idiopathic epilepsy and schools achievement. Arch Dis Child 1974; 70: 424-428.

10. Camfield C. Biologic factors as predictors of social outcome of epilepsy in intelectually normal children: A population-based study. J Ped 1993; 122(6): 869-873.

11. Holdwoth L, Whitmore K, A study of children with epilepsy attending ordinary schools. I: Their seizure patterns, progress and behaviour in school. Develop Med Child Neurol 1974; 16: 746-758.

12. Commission on classification and terminology of the ILAE (1989). Proposal for revised classification of epilepsies and epileptics syndromes. Epilepsia 1989; 30: 389-399.

13. Bialik R. Aspectos sociales de la Epilepsia. En: Epilepsia, Aspectos Neurobiológicos, Médicos y Sociales. Feria Velasco A, Martínez de Muñoz D, Rubio Donnadieu F, Eds. Ediciones del Instituto Nacional de Neurología y Neurocirugía 1997; 391-401.

14. Hoare P, Kerly S. Psychosocial adjustment of children with chronic epilepsy and their families. Develop Med Child Neurol 1991; 33: 201-215.