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.
Highlights
The present study evaluates the incidence of early and late seizures after head injury in ly patients under 18 years old
Most u of the late seizures were paroxysmal electroenl cephalography (EEG) discharges diagnosed on ia a snapshot-EEG during the follow-up examination of the patients without clinical symptoms
Could worsen the diagnosis and clinical outm come of the children in accordance to studies o performed in the adult population. n-c Introduction No It is a major goal to prevent children with head traumas from secondary brain injury like posttraumatic seizures
Summary
The present study evaluates the incidence of early and late seizures after head injury in ly patients under 18 years old. Factors correlating with a high risk of developing posttraumatic n seizures were identified Such risk factors were o the severity of the head trauma and a Glasgow. A seizure occurring within the first week after trauma is conventionally termed an early seizure, and any convulsion after the first week of trauma is considered as late seizure.[11] One important question is if the patients at risk of developing posttraumatic seizures could be identified and what could be done to prevent seizures. Prophylactic anti-convulsive medication in children with severe head trauma [Glasgow Coma Scale (GCS) 3-8] reduces posttraumatic seizures.[12] the efficacy of phenytoin in the prevention of posttraumatic seizures in adults is discussed controversially.
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