Risk Factors for Epilepsy Recurrence after Revascularization in Pediatric Patients with Moyamoya Disease
First author:Ma, Yonggang Zhao, Meng
Corresponding author:Zhao, Jizong
2018-03-01
Journal:J Stroke Cerebrovasc Dis
Publication type: Article
IF(IF): 1.646
PMID: 29128331 Link To Pubmed
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.
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.