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Evaluation of the prognostic factors in school age children who experienced neonatal seizures
- Source :
- Epilepsy & Behavior. 102:106673
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- This prospective study aimed to evaluate long-term neurodevelopmental outcomes and risk factors of the previously reported cohort, at their school age.We included neonates whose seizures were directly observed by the child neurologist or neonatologist based on clinical observations. They were assessed for cognitive and neurological outcomes at the age of 9-11 years. The test battery included a neurological examination, the Wechsler Intelligence Scale for Children-Revised (WISC-R) test, and patients with the diagnosis of cerebral palsy (CP) were graded according to the Gross Motor Function Classification System (GMFCS). The primary outcome of this study was to determine risk factors for the long-term prognosis of neonatal seizures.For the long-term follow-up, 97 out of 112 patients of the initial cohort were available (86.6%). We found that 40 patients (41%) have the normal prognosis, 22 patients (22.7%) have the diagnosis of CP, and 30 patients (30.9%) were diagnosed as having epilepsy. Twelve out of 22 patients with CP had the diagnosis of epilepsy. The WISC-R full-scale IQ scores were55 points in 27 patients (27.8%) and were85 points in 40 patients (41.2%). According to GMFCS, 10 patients were classified as levels 1-2, and 12 patients were classified as levels 3-5. In multivariate regression analyses, 5-min APGAR score6 was found to be an independent risk factor for CP, and 5-min APGAR score6 and neonatal status epilepticus were independent risk factors for epilepsy.This prospective cohort study reveals that abnormal school age outcome after neonatal seizures are significantly related to 5-min APGAR score6 and neonatal status epilepticus.
- Subjects :
- Male
Pediatrics
medicine.medical_specialty
Neurological examination
Infant, Newborn, Diseases
Cerebral palsy
Cohort Studies
03 medical and health sciences
Behavioral Neuroscience
Epilepsy
Status Epilepticus
0302 clinical medicine
Risk Factors
medicine
Humans
Prospective Studies
030212 general & internal medicine
Child
Students
Prospective cohort study
Neonatal seizure
Neurologic Examination
medicine.diagnostic_test
business.industry
Infant, Newborn
Wechsler Scales
Gross Motor Function Classification System
Prognosis
medicine.disease
Neurology
Child, Preschool
Cohort
Female
Apgar score
Neurology (clinical)
business
030217 neurology & neurosurgery
Follow-Up Studies
Subjects
Details
- ISSN :
- 15255050
- Volume :
- 102
- Database :
- OpenAIRE
- Journal :
- Epilepsy & Behavior
- Accession number :
- edsair.doi.dedup.....3406dd5abe2da42140be10b120e77fe9