Electrographic Seizures in Preterm Infants During the First Week of Life Are Associated With Cerebral Injury View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2010-01

AUTHORS

DIVYEN K. SHAH, JOHN ZEMPEL, TONY BARTON, KAREN LUKAS, TERRIE E. INDER

ABSTRACT

The aim of the study was to determine the incidence of electrographic seizure activity in a prospective cohort of preterm infants and relate it to the presence of cerebral injury. Infants born <30-wk gestation received a median 74 h of continuous 2-channel EEG with amplitude-integrated EEG monitoring in the first week of life. Infants were classified in the abnormal outcome group if they died in the neonatal period and/or had grades 3-4 intraventricular hemorrhage and/or moderate or severe abnormalities on cerebral MRI. Seizures were defined as rhythmic spike and/or wave activity lasting at least 10 s on the raw EEG trace. Eleven of 51 infants monitored had electrographic seizures. These infants were more premature had lower birth weights and a greater proportion had abnormal outcomes. In four infants, seizures preceded ultrasound findings of grades 3-4 intraventricular hemorrhage. Three of the four infants with seizures and concurrent physiologic recordings displayed concurrent rises in heart rate and one showed a fall in respiratory rate. In conclusion, electrographic seizures were more likely to occur in the sicker and more premature infants with abnormal outcomes. Seizures detected on continuous amplitude-integrated EEG monitoring with the raw EEG were associated with poor outcome. More... »

PAGES

102-106

Identifiers

URI

http://scigraph.springernature.com/pub.10.1203/pdr.0b013e3181bf5914

DOI

http://dx.doi.org/10.1203/pdr.0b013e3181bf5914

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1025955984

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/19745782


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