1. Adding Insult to Injury: Nonconvulsive Seizures in Abusive Head Trauma.
- Author
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Greiner MV, Greiner HM, Caré MM, Owens D, Shapiro R, and Holland K
- Subjects
- Brain pathology, Brain physiopathology, Craniocerebral Trauma etiology, Craniocerebral Trauma pathology, Craniocerebral Trauma physiopathology, Electroencephalography, Female, Follow-Up Studies, Humans, Infant, Infant, Newborn, Magnetic Resonance Imaging, Male, Prevalence, Retrospective Studies, Seizures etiology, Seizures pathology, Seizures physiopathology, Status Epilepticus etiology, Status Epilepticus pathology, Status Epilepticus physiopathology, Child Abuse, Craniocerebral Trauma epidemiology, Seizures epidemiology, Status Epilepticus epidemiology
- Abstract
The primary objectives of this study were to determine the prevalence of nonconvulsive seizures and nonconvulsive status epilepticus in patients with abusive head trauma who underwent electroencephalography (EEG) monitoring and to describe predictive factors for this population. Children with a diagnosis of abusive head trauma were studied retrospectively to determine the rate of EEG monitoring, the rate of nonconvulsive seizures and nonconvulsive status epilepticus, and the associated neuroimaging findings. Over 11 years, 73 of 199 (36.8%) children with abusive head trauma had electroencephalography monitoring performed. Of these, 20 (27.4%) had nonconvulsive seizures and 3 (4.1%) had nonconvulsive status epilepticus. The presence of subarachnoid hemorrhage and cortical T2 / fluid-attenuated inversion recovery signal abnormalities were both significantly associated with the presence of nonconvulsive seizures / nonconvulsive status epilepticus. Nonconvulsive seizures are relatively common in abusive head trauma and may go unrecognized. Specific neuroimaging characteristics increase the likelihood of nonconvulsive seizures on EEG., (© The Author(s) 2015.)
- Published
- 2015
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