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Lennox-Gastaut syndrome: A severe form of epilepsy in children

Causes:
  • Damage to the brain, such as lack of oxygen at birth, infections or accidents.
  • Other diseases such as metabolic disease or tuberous sclerosis.
  • Genetic abnormalities, although the role of inheritance is not fully understood.
  • In one third of the children, the cause is unknown.
Symptoms:
  • Different types of attacks, including tonic, atonic, absentence and myoclonic seizures.
  • Many children are already lagging behind in their development before epilepsy attacks begin.
  • Behavioral problems such as rapid anger, irritability, restlessness and withdrawn behaviour.
  • Increased risk of developing psychoses.
Treatment:
  • The syndrome is unhealable, but seizure control can be improved with antiepileptic medication.
  • A ketogenic diet can help to reduce seizures.
  • Sometimes the vagus nerve is stimulated, but this has no effect in most children.
  • Epilepsy surgery may be considered, such as a corpus callostomy to prevent the spread of seizures. Unfortunately, seizures return in most children over time.

Lennox-Gastaut Syndrome is a challenging condition that requires a multidisciplinary approach to control symptoms and improve the quality of life of affected children.

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