Predictors and incidence of posttraumatic seizures in children and adolescents after brain injury

  • Athanasios K. Petridis | opticdisc@aol.com Department of Neurosurgery, University-Schleswig Holstein, Campus Kiel, Germany.
  • Alexandros Doukas
  • Homajoun Maslehaty Department of Neurosurgery, University-Schleswig Holstein, Campus Kiel, Germany.
  • Hubertus Maximilian Mehdorn Department of Neurosurgery, University-Schleswig Holstein, Campus Kiel, Germany.

Abstract

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.

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Published
2012-06-08
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Articles
Keywords:
posttraumatic seizures, early seizures, late seizures, anticonvulsive therapy.
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How to Cite
Petridis, A. K., Doukas, A., Maslehaty, H., & Mehdorn, H. M. (2012). Predictors and incidence of posttraumatic seizures in children and adolescents after brain injury. Clinics and Practice, 2(3), e66. https://doi.org/10.4081/cp.2012.e66