Study Explores Developmental and Epileptic Encephalopathies in Children
In a recent study conducted at Bambino Gesù Children’s Hospital in Rome, researchers focused on a specific group of neurological disorders known as developmental and epileptic encephalopathies (DEEs). These conditions are marked by both developmental delays and seizures, making them particularly challenging for affected individuals and their families. The team aimed to track how these disorders progress over time by examining clinical data, brain activity through electroencephalography (EEG), and neuropsychological assessments from the onset of seizures to the latest follow-up.
The study looked at 160 patients, the majority of whom were female. Researchers found that a significant number of these patients had genetic variations that contributed to their condition, with the SCN1A gene being the most frequently identified. On average, seizures started when the children were just a few months old, and the follow-up evaluations occurred when they were around 8.5 years old. The analysis revealed some notable changes: the brain’s electrical activity, as measured by EEG, was significantly altered over time, and cognitive impairments became more pronounced. However, the specific types of seizure activity did not show a significant change during the same period.
The study also highlighted the troubling reality that many of these patients faced drug-resistant epilepsy—about 82% of the patients struggled to find effective seizure control with medication. Beyond seizures, many also experienced additional challenges, such as movement disorders, behavioral issues, and neurological deficits. Alarmingly, nearly a quarter of the patients experienced episodes of status epilepticus, a severe and potentially life-threatening type of seizure.
Ultimately, the findings from this research underscore the progressive nature of genetic DEEs, indicating that children may face worsening cognitive and neurological challenges over time. This emphasizes the critical need for early intervention and tailored treatment plans to address the unique needs of each child. Understanding these patterns can help healthcare providers offer better support and strategies to manage these complex conditions, making the journey a little smoother for families navigating the difficulties of DEEs.