Amplitude-integrated EEG revealed nonconvulsive status epilepticus in children with non-accidental head injury期刊界 All Journals 搜尽天下杂志传播学术成果专业期刊搜索期刊信息化学术搜索

Amplitude-integrated EEG revealed nonconvulsive status epilepticus in children with non-accidental head injury

Affiliation:	1. Department of Pediatrics, Juntendo University Faculty of Medicine, Japan;2. Department of Pediatrics, Juntendo Urayasu Hospital, Japan;1. Departments of Child and Adolescent Psychiatry, Hacettepe University Children''s Hospital, Ankara, Turkey;2. Pediatric Neurology, Hacettepe University Children''s Hospital, Ankara, Turkey;3. Pediatric Gastroenterology, Hacettepe University Children''s Hospital, Ankara, Turkey;1. Department of Pediatrics, Klinikum rechts der Isar, Technical University Munich, Koelner Platz 1, 80804 Munich, Germany;2. Department of Pediatric Neurology and Developmental Medicine, University Children''s Hospital, Tübingen, Germany;3. Institute for Clinical Radiology, Ludwig-Maximilian-University, Munich, Germany;4. Psychiatry Neuroimaging Laboratory, Department of Radiology and Psychiatry, Brigham and Women''s Hospital, Harvard Medical School, Boston, USA;5. Department of Child and Adolescent Psychiatry, Psychosomatic and Psychotherapy, Ludwig-Maximilian-University, Munich, Germany;6. Social Pediatrics and Developmental Medicine, Klinikum rechts der Isar, Technical University Munich, Koelner Platz 1, 80804 Munich, Germany;7. Veterans Affairs (VA) Boston Healthcare System, Brockton, MA, USA;8. Clinic for Neuropediatrics and Neurorehabilitation, Epilepsy Center for Children and Adolescents, Krankenhausstr. 20, 83569 Vogtareuth, Germany;9. Department of Pediatric Neurology and Developmental Medicine, Hauner Children''s Hospital, Ludwig-Maximilian-University, Munich, Germany;10. German Center for Vertigo and Balance Disorders, University of Munich, Munich, Germany;1. Department of Developmental Neuroscience, IRCCS Fondazione Stella Maris, Pisa, Italy;2. Department of Clinical and Experimental Medicine, University of Pisa, Italy;3. Department of Paediatric Neurology, Catholic University, Rome, Italy;1. Department of Pediatrics, Division of Neonatology, Baskent University Faculty of Medicine, Ankara Hospital, Ankara, Turkey;2. Department of Obstetrics and Gynecology, Division of Perinatology, Baskent University Faculty of Medicine, Ankara Hospital, Ankara, Turkey;3. Department of Pathology, Baskent University Faculty of Medicine, Ankara Hospital, Ankara, Turkey;1. Service de Neuroradiologie, CHU Bicêtre, 78 rue du General Leclerc, 94275 Le Kremlin Bicêtre Cedex, France;2. National Referral Center for Neurovascular Malformations in Children, France;3. Service de Neurologie pédiatrique, CHU Bicêtre, 78 rue du General Leclerc, 94275 Le Kremlin Bicêtre Cedex, France;4. Service de Réanimation pédiatrique, CHU Bicêtre, 78 rue du General Leclerc, 94275 Le Kremlin Bicêtre Cedex, France;5. Service de Radiologie pédiatrique, CHU Bicêtre, 78 rue du General Leclerc, 94275 Le Kremlin Bicêtre Cedex, France;1. Servicio de Neuropediatría, Departamento de Pediatría, Hospital Clínico Universitario, Facultad de Medicina, Santiago de Compostela, Spain;2. Servicio de Anatomía Patológica, Hospital Clínico Universitario, Facultad de Medicina, Santiago de Compostela, Spain;3. Laboratorio de Enfermedades Mitocondriales, Instituto de Investigación Hospital 12 de Octubre (i+12), E-28041 Madrid, Spain;4. Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), U723, E-28041 Madrid, Spain

Abstract:	ObjectiveWe describe the clinical course and amplitude-integrated EEG findings in three children with non-accidental head injury and discuss on the importance of continuous aEEG monitoring in infants.MethodsNCSE was defined as a continuous 30-min seizure or briefer seizures occurring consecutively comprising at least 30 min of any 1-h period. Non-accidental head injury was diagnosed on the basis of neuroimaging findings such as subdural hemorrhage. Antiepileptic treatment was performed with continuous amplitude-integrated EEG monitoring.ResultsThe age of the patients ranged from 48 days to nine months. All of them had loss of consciousness and seizures on presentation. Nonconvulsive status epilepticus without clinical symptoms were recognized in all patients. Vigorous antiepileptic treatment against nonconvulsive status epilepticus was made in two patients, whereas nonconvulsive status epilepticus disappeared within one hour without additional treatment in one.ConclusionsOur experience indicates that nonconvulsive status epilepticus were not uncommon in children with non-accidental head injury. Continuous amplitude-integrated EEG monitoring will be one of the useful methods in encephalopathic children in order to estimate seizure burden objectively and to treat seizures appropriately.

Keywords:	Amplitude-integrated EEG Nonconvulsive status epilepticus Saw-tooth pattern Subclinical seizure Non-accidental head injury Encephalopathic children
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