Diop-Sène Marième Soda, Nsounda Mandzela Annick, Mbaye Khalifa Ababacar, Mbodj Ahmadou Bamba, Diagne Rokhaya, Ka Mamadou, Saphou-Damon Michel Arnaud, Cissé Ousmane, Ba El Hadj Makhtar, Ndiaye Moustapha and Diop Amadou Gallo
Introduction: Frontal lobe seizures are one of the most frequent seizure types in children. Diagnosis and treatment could be difficult sometimes. In a context where there is no stereo-electroencephalography (SEEG), and epilepsy surgery is impossible. Methodology: We conducted a descriptive study from January to July 2016 at the neurophysiology department of Fann University Hospital in Dakar. Children with frontal lobe epileptic abnormalities were involved in the study. They had a standard EEG and neurological and neuropsychological assessment. Results: A total of 9 cases were collected and only 7 patients were included in the study. At the end of the study we found a good correlation between clinical signs and electrophysiologic findings. 4 out of 7 had had their first episode in preschool age, 6 out of 7 had nocturnal seizure, 5 out of 7 had 3 to 5 seizures each time. 4 out of 7 had seizures during EEG recording. EEG findings were fast rhythms, spike and spike and wave in frontal derivations. 5 out of 7 had neuropsychologic assessment and 4 patients had procedural memory; visio-spatial; planification; mental flexibility and inhibition impairment. We did not find the etiology in our patients. Evolution was good with antiepileptic treatment. All the patients were really improved. Conclusion: Frontal lobe seizure are one of the most frequent seizure type in children. Diagnosis and treatment could be difficult sometimes. In a context where there is no stereo EEG, no epilepsy surgery, we need to have the most precise diagnosis, to offer more chance to our patient to benefit from treatment to improve prognosis and outcome in children with frontal lobe seizures.
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