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열성 경련과 측두엽 간질의 관계 : 열성 경련을 경험한 성인 간질 환자에서 측두엽 간질이 호발하는가?

Other Titles
 The Relationship between Febrile Convulsion and Temporal Lobe Epilepsy : Is Febrile Convulsion a Preferential Association with Temporal Lobe Epilepsy? 
Authors
 정정욱  ;  김성은  ;  이태윤  ;  허 경 
Citation
 Journal of the Korean Neurological Association (대한신경과학회지), Vol.18(4) : 409-413, 2000 
Journal Title
Journal of the Korean Neurological Association(대한신경과학회지)
ISSN
 1225-7044 
Issue Date
2000
Keywords
Febrile convulsion ; Temporal lobe epilepsy ; Complex febrile convulsion
Abstract
Background : Although a history of febrile convulsion (FC) is common in epilepsy patients, the preferential associa-tion of febrile convulsion with temporal lobe epilepsy (TLE) is not clear.
Methods : We obtained the FC data from “Paik and Bongsang hospital “ epilepsy clinic. We classified epilepsy syndromes into generalized epilepsy (GE), temporal lobe epilepsy (TLE), extratemporal epilepsy (ETLE), unclassified partial and undetermined epilepsy by standardized criteria. The incidence of antecedent FC was evaluated in relation to the epilepsy classifications. We calculated kappa values for inter and intra observer reliability for the classifications of epilepsy syndromes.
Results : The agreement of epilepsy classifications were reliable (intra-observer kappa value=0.78, inter-observer kappa value=0.77). Thirteen percent of the studied patients (72/537) had a history of FC and 38% of FC (27/72) were complex types of FC. TLE was more likely to be preceded by FC 25% (42/166) than ETLE 6% (12/189), p<0.05 or GE 13% (12/93), p<0.05 and 85% of complex FC (23/27) preceded TLE. GE however, was more likely to have non-complex FC 100% (12/12) than partial epilepsy 55% (32/58), p<0.05.
ConclusIons : We therefore conclude and agree that FC should be preferentially associated with TLE. J Korean Neurol Assoc 18(4):409~413, 2000
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
Yonsei Authors
Heo, Kyoung(허경)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/172208
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