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Evolution of epileptic zeisures iniciated during neonatal period in a long term follow up of 97 children
Last modified: 2018-09-09
Abstract
Introduction:A group of 132 children from the intensive care neonatal unit at a hospital during 2006-2010 period had clinical recognized epileptic episodes. A first study defined incidence and etiology, another one showed long term effects of zeisures in that group. In this study evolution of thosewhich their sequelae was epilepsywas analyzed.Objectives:To recognized neonatal epileptic síndrome.To analize complementary studies protocols to characterize epileptical seizures during neonatal periodTo described evolution and outcome of those children who developed epilepsy. Identify probable epileptic syndromes in childhood. Method and material:Neurophisiological and neuroimagesanalisys.Clinical histories revisión.Clinical child neurology evaluation.Results: Inicialn = 132 - Deads = 24- Contacted = 97- Epilepsy = 30-Non epilepsy = 67Of 30 children with neonatal epileptic episodes (NEE)23 were released without eeg-7 with eeg- 2 with low amplitude, 2 had paroxistic activity, 3 were normal. Of 30 children with nee 1 was released without neuroimage, while 29 had neuroimages being 22pathological and 7 normal.Neonatal epileptic syndromes identified = 13 - 2 BFNZ/BNIZ –Sintomatic Epilepsy 5( 1 cortical dysplasia- 4 hidrocephalus)-6 epilepsy of unkownorigen.Conclussions:high level of difficulties were present in the long term follow up of NEE–our nee protocols lack on neurophisiological studies–monitoring neonates brain electrical activity is mandatory to improve the intents on classifying epileptic syndromes during neonatal period.
Keywords
neonatal,ziesures, epileptic syndromes
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