Epilepsy Following Neonatal Seizures Secondary to Hemorrhagic Stroke in Term Neonates

Intracranial hemorrhage accounts for about 50% of all pediatric stroke. Studies of term infants with intracranial hemorrhage have shown favorable motor and cognitive outcome. The goal of this study was to examine the risk of developing epilepsy in full-term infants with intracranial hemorrhage. A re...

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Veröffentlicht in:Journal of child neurology 2016-04, Vol.31 (5), p.547-552
Hauptverfasser: Venkatesan, Charu, Millichap, John J., Krueger, Jena M., Nangia, Srishti, Ritacco, David G., Stack, Cynthia, Nordli, Douglas R.
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container_end_page 552
container_issue 5
container_start_page 547
container_title Journal of child neurology
container_volume 31
creator Venkatesan, Charu
Millichap, John J.
Krueger, Jena M.
Nangia, Srishti
Ritacco, David G.
Stack, Cynthia
Nordli, Douglas R.
description Intracranial hemorrhage accounts for about 50% of all pediatric stroke. Studies of term infants with intracranial hemorrhage have shown favorable motor and cognitive outcome. The goal of this study was to examine the risk of developing epilepsy in full-term infants with intracranial hemorrhage. A retrospective study was performed of term neonates (greater than or equal to 37 weeks gestation) with intracranial hemorrhage and confirmed seizures. Fifteen patients with intracranial hemorrhage and neonatal seizures were identified. Four patients did not have follow-up information beyond the neonatal period (1 death, 3 lost to follow-up after initial clinic visit). The average follow-up period for the remaining 11 patients was approximately 22 months. Ten out of the 11 patients (91%) who were followed were seizure-free and off antiepileptic medications. One patient required a ventriculoperitoneal shunt and subsequently developed infantile spasms. The authors found that overall outcome was favorable with respect to development of epilepsy.
doi_str_mv 10.1177/0883073815600864
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Studies of term infants with intracranial hemorrhage have shown favorable motor and cognitive outcome. The goal of this study was to examine the risk of developing epilepsy in full-term infants with intracranial hemorrhage. A retrospective study was performed of term neonates (greater than or equal to 37 weeks gestation) with intracranial hemorrhage and confirmed seizures. Fifteen patients with intracranial hemorrhage and neonatal seizures were identified. Four patients did not have follow-up information beyond the neonatal period (1 death, 3 lost to follow-up after initial clinic visit). The average follow-up period for the remaining 11 patients was approximately 22 months. Ten out of the 11 patients (91%) who were followed were seizure-free and off antiepileptic medications. One patient required a ventriculoperitoneal shunt and subsequently developed infantile spasms. 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subjects Disease Progression
Electroencephalography
Epilepsy - diagnosis
Epilepsy - etiology
Female
Gestational Age
Humans
Infant
Intracranial Hemorrhages - complications
Magnetic Resonance Imaging
Male
Retrospective Studies
Stroke - complications
Stroke - etiology
title Epilepsy Following Neonatal Seizures Secondary to Hemorrhagic Stroke in Term Neonates
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