Epilepsy associated with shaken baby syndrome

被引：19

作者：

Bourgeois M. ^{[1
]}

Rocco F. ^{[1
]}

Garnett M. ^{[1
]}

Charron B. ^{[2
]}

Boddaert N. ^{[3
]}

Soufflet C. ^{[4
]}

Roujeau T. ^{[1
]}

Zerah M. ^{[1
]}

Sainte-Rose C. ^{[1
]}

Plouin P. ^{[4
]}

Renier D. ^{[1
]}

机构：

[1] Department of Pediatric Neurosurgery, Hǒpital Necker Enfants Malades, 75015 Paris

[2] Department of Neuroanesthesiology, Hǒpital Necker-Enfants Malades, Paris, Université René Descartes, Paris V

[3] Department of Neuroradiology, Hǒpital Necker-Enfants Malades, Paris, Université René Descartes, Paris V

[4] Clinical Neurophysiology Unit, Hǒpital Necker-Enfants Malades, Paris, Université René Descartes, Paris V

来源：

Child's Nervous System | 2008年 / 24卷 / 2期

关键词：

Battered child; Non accidental injury; Non-accidental trauma; Outcome; Prognosis; Seizures; Sub-dural haematoma;

D O I：

10.1007/s00381-007-0493-4

中图分类号：

学科分类号：

摘要：

Object: The shaken baby syndrome (SBS) is an important cause of developmental delay in infants. Epileptic seizures are a common feature of this syndrome. The aim if this study is to analyse the impact of the early and late seizures disorder. Materials and methods: We have retrospectively reviewed the clinical and electrophysiological findings in a series of 404 children hospitalised with SBS. Results: In the acute phase, clinical epileptic seizures of various semiologies were found in 73% of the infants. Only 11% of the children had a normal EEG on admission. A poor outcome was found in 88% of the children in case of persisting EEG anomalies despite anti-epileptic treatment with 48% mortality in these patients. The development of refractory epilepsy was also associated with a poor outcome in this series. In fact 96% of the children with seizure recurrence had behavioural problems. Conclusions: The early recognition and subsequent management of these seizures is vital to prevent further neurological injury. Delayed or recurrent epileptic seizures may occur with a different semiology to the seizures in the acute phase and are also associated with a poor prognosis. © Springer-Verlag 2007.

引用

页码：169 / 172

页数：3

共 17 条

[1]

Barlow K.M., Spowart J.J., Minns R.A., Early posttraumatic seizures in non-accidental head injury: Relation to outcome, Dev Med Child Neurol, 42, pp. 591-594, (2000)

[2]

Barlow K.M., Thomson E., Johnson D., Minns R.A., Late neurologic and cognitive sequelae of inflicted traumatic brain injury in infancy, Pediatrics, 116, pp. 174-185, (2005)

[3]

Becker H., Gupta B.K., Recognizing abusive head trauma in children, JAMA, 282, (1999)

[4]

Caffey J., On the theory and practice of shaking infants, Am J Dis Child, 124, pp. 161-169, (1972)

[5]

Carty H., Non-accidental injury: A review of the radiology, Eur Radiol, 7, pp. 1365-1376, (1997)

[6]

Chiaretti A., De Benedictis R., Polidori G., Piastra M., Iannelli A., Di Rocco C., Early post-traumatic seizures in children with head injury, Childs Nerv Syst, 16, pp. 862-866, (2000)

[7]

Duhaime A.C., Christian C.W., Rorke L.B., Zimmerman R.A., Nonaccidental head injury in infants - The "shaken-baby syndrome, N Engl J Med, 18, pp. 1822-1829, (1998)

[8]

Duhaime A.C., Gennarelli T.A., Thibault L.E., Bruce D.A., Margulies S.S., Wiser R., The shaken baby syndrome. A clinical, pathological and biomechanical study, J Neurosurg, 66, pp. 409-415, (1987)

[9]

Duhem R., Vinchon M., Tonnelle V., Soto-Ares G., Leclerc X., Main temporal aspects of the MRI signal of subdural hematomas and practical contribution to dating head injury, Neurochirurgie, 52, 2-3 PART 1, pp. 93-104, (2006)

[10]

Handy T.C., Hanzlick R., Shields L.B., Reichard R., Goudy S., Hypernatremia and subdural hematoma in the pediatric age group: Is there a causal relationship?, J Forensic Sci, 44, 6, pp. 1114-1118, (1999)

← 1 2 →