Early Posttraumatic Seizures in the Pediatric Population

被引:17
作者
Arndt, Daniel H. [1 ,2 ,3 ]
Goodkin, Howard P. [4 ,5 ]
Giza, Christopher C. [6 ,7 ,8 ]
机构
[1] Oakland Univ, William Beaumont Sch Med, Beaumont Childrens Hosp, Dept Pediat,Div Pediat Neurol, Royal Oak, MI USA
[2] Oakland Univ, William Beaumont Sch Med, Beaumont Childrens Hosp, Dept Neurol, Royal Oak, MI USA
[3] Oakland Univ, William Beaumont Sch Med, Beaumont Hlth Syst Neurosci, Royal Oak, MI USA
[4] Univ Virginia, Sch Med, UVA Hlth Syst, Dept Neurol,Div Pediat Neurol, Charlottesville, VA 22908 USA
[5] Univ Virginia, Sch Med, UVA Hlth Syst, Dept Pediat, Charlottesville, VA 22908 USA
[6] Univ Calif Los Angeles, David Geffen Sch Med, Dept Pediat, Div Pediat Neurol, Los Angeles, CA 90095 USA
[7] Univ Calif Los Angeles, David Geffen Sch Med, Dept Neurosurg, Los Angeles, CA 90095 USA
[8] Univ Calif Los Angeles, Mattel Childrens Hosp, Los Angeles, CA USA
关键词
pediatric; posttraumatic seizure; traumatic brain injury; epilepsy; seizure; TRAUMATIC BRAIN-INJURY; SEVERE HEAD-INJURY; ANTIEPILEPTIC DRUGS; CONTINUOUS EEG; RISK-FACTORS; UNITED-STATES; SHORT-TERM; EPILEPSY; CHILDREN; PREVENTION;
D O I
10.1177/0883073814562249
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Early posttraumatic seizure is a paramount clinical issue in pediatric traumatic brain injury patients as it is a common occurrence, yet an understudied entity at present. Recent literature recognizes several posttraumatic seizure subtypes based on time of presentation and the underlying pathophysiology: impact, immediate, delayed early, and late/posttraumatic epilepsy. Appropriate classification of pediatric posttraumatic seizure subtypes can be helpful for appropriate management and prognosis. This review will focus on early posttraumatic seizures, and the subtypes of early posttraumatic seizure. Incidence, risk factors, diagnosis, seizure semiology, status epilepticus, management, risk of recurrence, and prognosis were reviewed. The integration of continuous electroencephalographic (EEG) monitoring into pediatric traumatic brain injury management may hold the key to better characterizing and understanding pediatric early posttraumatic seizures. Topics for future research pertaining to pediatric early posttraumatic seizure are identified.
引用
收藏
页码:46 / 56
页数:11
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