Post-traumatic early epilepsy in pediatric age group with emphasis on influential factors

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dc.authoridYologlu, Saim/0000-0002-9619-3462
dc.authoridAtes, Ozer/0000-0001-7676-9033
dc.authoridOrakdogen, Metin/0000-0002-9395-2902
dc.authorwosidYologlu, Saim/ABI-8014-2020
dc.authorwosidAtes, Ozer/AAH-3493-2021
dc.contributor.authorAtes, Ö
dc.contributor.authorÖndül, S
dc.contributor.authorÖnal, Ç
dc.contributor.authorBüyükkiraz, M
dc.contributor.authorSomay, H
dc.contributor.authorÇayli, SR
dc.contributor.authorGögüsgeren, MA
dc.date.accessioned2024-08-04T20:15:16Z
dc.date.available2024-08-04T20:15:16Z
dc.date.issued2006
dc.departmentİnönü Üniversitesien_US
dc.description18th Congress of the European-Society-for-Pediatric-Neurosurgery -- JUN 14-18, 2002 -- KIRUNA, SWEDENen_US
dc.description.abstractObjective: Posttraumatic epilepsy in the pediatric age group is mostly seen within the first week. An acute posttraumatic epileptic fit, which may induce secondary insults, should be hindered. The aim of the study is to define the risk factors for posttraumatic early epilepsy (PTEE) and the indications for prophylactic therapy. Methods: In this survey, a total of 1,785 pediatric patients-under the age of 16-are studied. The majority of the patients (1,655) were treated in Haydarpa Numune Hospital within the years 1993-1999. The rest, which consists of 130 patients, were treated in Inonu University Turgut Ozal Medical Center between the years 2001 and 2003. The patients were categorized according to age, gender, neurological manifestations, type of trauma, cranial pathology, number and type of epileptic fits, the interval between trauma and convulsion, electroencephalogram findings, and antiepileptic therapy. All these factors were challenged due to their effect on the evolution of PTEE. Results: Only 149 cases had PTEE (8.4%). There was no correlation between gender and the incidence of PTEE. The data showed that 11.7% of the patients at or under the age of 3 (p=0.00072), 30.8% of the patients with severe head injury (Glasgow Coma Scale=3-8; Children's Coma Scale = 3-8; p=0.00000), 19.3% of the patients with depressed skull fractures (p=0.00038), 13.7% of the patients with intraparenchymal hemorrhage (p=0.0000072), and 21.6% of the patients with cerebral edema (p=0.000008) had PTEE. Only 20% of the patients with PTEE had a Glasgow Outcome Scale (GOS) of 3 or less (p=0.0000075). Conclusion: Those patients at or under the age of 3, with severe head injury, cerebral edema, intraparenchymal hemorrhage, or depressed skull fracture, have a higher incidence of PTEE. Moreover, because the GOS of these patients are prone to be worse, antiepileptic therapy in acute stage may be effective in preventing the secondary brain damage.en_US
dc.description.sponsorshipEuropean Soc Pediat Neurosurgen_US
dc.identifier.doi10.1007/s00381-005-1177-6
dc.identifier.endpage284en_US
dc.identifier.issn0256-7040
dc.identifier.issn1433-0350
dc.identifier.issue3en_US
dc.identifier.pmid15889309en_US
dc.identifier.scopus2-s2.0-33644507704en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage279en_US
dc.identifier.urihttps://doi.org/10.1007/s00381-005-1177-6
dc.identifier.urihttps://hdl.handle.net/11616/94285
dc.identifier.volume22en_US
dc.identifier.wosWOS:000235546000012en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofChilds Nervous Systemen_US
dc.relation.publicationcategoryKonferans Öğesi - Uluslararası - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectpediatricen_US
dc.subjecthead injuryen_US
dc.subjectposttraumatic epilepsyen_US
dc.subjectearly epilepsyen_US
dc.subjectdiphenylhydantoinen_US
dc.titlePost-traumatic early epilepsy in pediatric age group with emphasis on influential factorsen_US
dc.typeConference Objecten_US

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