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Query: UMLS:C0238111 (
Lennox-Gastaut syndrome
)
861
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
The purpose of this article is to present a short review of the natural history of myoclonic astatic epilepsy (MAE; Doose syndrome) and the
Lennox-Gastaut syndrome
(
LGS
). In the 1989 classification of the International League Against Epilepsy (ILAE, 1989), MAE and
LGS
were initially included in group 2.2: "Cryptogenic or symptomatic generalized epilepsies and syndromes." The subsequent classification of the Proposed Diagnostic Scheme for People with Epileptic Seizures and with Epilepsy (see Ref. 8) placed MAE in axis 3 in the "generalized epilepsy" group and
LGS
, severe myoclonic epilepsy of infancy (
SMEI
or Dravet syndrome) and atypical benign partial epilepsy/pseudo-Lennox syndrome (ABPE/PLS) in the "epileptic encephalopathy" group. The semiology of MAE and
LGS
and their differential diagnosis from
SMEI
and ABPE/PLS are described. Before the onset of
SMEI
, MAE, and ABPE/PLS, the development of the child is usually normal. In contrast, in
LGS
, development is frequently retarded at the onset, depending on the etiopathogenesis of the underlying brain disease. The course of MAE is highly variable with regard to seizure outcome (complete remission in some cases, persistent epilepsy in others) and cognitive development (normal or delayed). The course of
LGS
and
SMEI
is generally poor, both with regard to the epilepsy and to the cognitive development whereas the course and seizure outcome of ABPE/PLS is favorable; the patients will be seizure-free at puberty. However, the neuropsychological outcome is less favorable; most patients remain mentally retarded.
...
PMID:The natural history of myoclonic astatic epilepsy (Doose syndrome) and Lennox-Gastaut syndrome. 1710 62