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Journal : Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia

Faktor Risiko Epilepsi Intraktabel pada Anak dengan Epilepsi Umum Mangunatmadja, Irawan; Mulyani, Dina Indah; Pardede, Sudung O; Tridjadja, Bambang; Wulandari, Harjanti F
Majalah Kedokteran Indonesia Vol 69 No 2 (2019): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.69.2-2019-72

Abstract

Introduction: Several datas studied of intractable epilepsy risk factors areavailable in childhood epilepsy. The objectve of this reasearch to investigatethe role of early or evolution several factors on childhood with generalizedepilepsy as risk factors of intractable epilepsy. Methods: Retrospective cohort study was conducted at neurology out patient pediatric and private outpatient clinic Cipto Mangunkusumo Hospital between January 2010 to December 2013. The inclusion criteria was childhood gener-alized epilepsy with age 1 month up to 18 years old which has been treated with anti epileptic drugs for at least 6 months. Risk factors were analyzed with bivariate and multivariate analysis. Results: Prevalence of intractable generalized epilepsy is 21% of 102 subject. Bivariate analysis showed that age onset of seizure, initial seizure frequency,non-responder of early treatment, unfavorable gross motor development evo-lution and unfavorable epilepti form EEG evolution were significantly associ-ated with intractable epilepsy. Based on multivariate analysis only non-re-sponder of early treatment (p less than 0.001) and age onset less than 1 year old (p less than 0.001). Conclusions. Non-responder early treatment and age onset of seizure less than 1year old are strongly associated with intractable in childhood generalized epi-lepsy.