Abstract
Seventy one children with nonfebrile generalized convulsions were followed for three years to 6 years and 10 months.
The results were summarized as follows.
1) Fifty cases out of 71 (70.4%) were free of seizures and 64 cases (90.1%) had normal psychomotor and mental status.
2) Ten cases out of 71 (14.1%) had other types of seizures.
Three had simple partial seizures, 6 had complex partial seizures and one had complex partial seizures and atypical absence. Of those, 9 (90.0%) still had seizures, and 7 (70.0%) had psychomotor or mental retardation.
3) Factors associated with prognosis of seizures were psychomotor or mental retardation (p<0.01), lag time between onset and the first visit (p<0.05), and past history of nonfebrile generalized convulsions which lasted for more than 30 minutes (p<0.05).
We found no association between prognosis of seizures and sex, family history of febrile convulsions or epilepsy, past history of neoratal asphyxia or febrile convulsions, age of onset, abnormal landings on CT scan, or complication of otner types oi seizures before the first visit.
The relation between prognosis of seizures and the epileptic discharges at the first EEG recording was obscure, because many factors influenced the EEG findings.
