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Predictors and Incidence of Posttraumatic Seizures in Children and Adolescents after Brain Injury
Ist Teil von
Clinics and practice, 2012-06, Vol.2 (3), p.e66
Ort / Verlag
Pavia, Italy: PAGEPress Publications
Erscheinungsjahr
2012
Quelle
EZB-FREE-00999 freely available EZB journals
Beschreibungen/Notizen
The present study evaluates the incidence of early and late seizures after head injury in patients under 18 years old. Factors correlating with a high risk of developing posttraumatic seizures were identified. Such risk factors were the severity of the head trauma and a Glasgow Coma Scale of 3-8. In contrast to many studies, we observed that the incidence of posttraumatic seizures was significantly higher in patients older than 12 years old (12-16 and 12-18). Most of the late seizures were paroxysmal electroencephalography (EEG) discharges diagnosed on a snapshot-EEG during the follow-up examination of the patients without clinical symptoms. We suppose that EEG-examination in head injured children is important to identify patients with epileptic potentials without clinical symptoms. Epileptic patterns of the EEG could worsen the diagnosis and clinical outcome of the children in accordance to studies performed in the adult population.