[Contributions to clinical myology. Examination strategies in general practice].
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Biomedical subjects
Publications and source records attributed to I Scheidemann.
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Different developments (good n = 8, poor n = 15 and very poor n = 27) in 50 former patients with infantile myoclonic seizures are compared with findings from the acute phase of the disease after 11.1 +/- 4.1 years. It has been confirmed that it is sensible with regard to intellectual development to distinguish idiopathic (very seldom) and symptomatic cases in infantile myoclonic seizures. An early beginning of the disease, developmental backwardness as well as pathological and neurological findings as signs of a cerebral damage or disease (symptomatic cases) suggest a poor prognosis.
17 patients out of a total of 93 treated for primarily pure absence-epilepsy experienced secondary grand mal-seizures and eeg of 8 patients showed a grand mal-disposition (irregular s-w). These 25 patients, compared with the remaining 68 patients, attended more frequently a special school for mentally retarded children, their marks were worse, they left school in a lower form, and their vocational education was less qualified. 8 patients out of 65, who were primarily treated with Suxilep and without additional grand mal-remedy, experienced secondary grand mal-seizures (relative frequency 0.12). The question of the necessity of primary grand mal-prophylaxis is beeing discussed.
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