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原发全身性癫痫遗传流行病学研究

Genetic epidemiological study on primary general ized epilepsy

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【作者】 周列民刘焯霖梁秀龄伍金城

【Author】 Zhou Liemin; et al.(Department of Neurology, The First Affiliated Hospital,Sun Yat-sun University Of Medical Sciences.Guangzhou. 510080)

【机构】 中山医科大学附属第一医院神经内科

【摘要】 本文报道100例原发全身性癫痫家系的遗传流行病学研究结果。先证者一级亲属患病率为6.86%,二级亲属为1.03%;分别是对照组一级亲属的13.83倍和2.08倍。原发全身性癫痫的遗传度为:一级亲属0.7521±0.0678,二级亲属0.3592±0.0746;加权平均0.5743±0.0502。说明遗传因素起重要作用。发病年龄影响因素分析表明:原发全身性癫痫有一定年龄依从性。EEG家系分析显示,该型癫痫一级亲属癫痫样放电明显高于对照组一级亲属,提示癫痫样放电的遗传倾向。

【Abstract】 The result of genetic epidemiological study in pedigrees with primary generalized epilepsy (PGE)is reported in this paper. The prevalence rates of proband’s first and second degree relatives were 6.86% and 1.03%, respectively which were 13.83 and 2.08 times as high as that of the control’s first relatives. The heritabilities of PGE in the first and second relatives were estimated 0.7521±0.0678 and 0.3592 ±0.0746 respectively. The weighted average of the heritability was estimated at 0.5734 ±0.0502. It suggests that the genetic factor playS an important role in PGE. The analysis on the onset age shows that the prevalence rate of PGE has a marked relation to age. EEG of the pedigrees with PGE were studied. The result showed that the rates of epileptiform discharges in PGE first relatives were markedly higher than that in the control’s first relatives. It suggests that epileptiform discharges may be inherited.

  • 【文献出处】 中国神经精神疾病杂志 ,CHINESE JOURNAL OF NERVOUS AND MENTAL DISEASES , 编辑部邮箱 ,1994年06期
  • 【分类号】R742.1
  • 【被引频次】1
  • 【下载频次】149
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