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Silent seizures in sick infants in early life. Diagnosis by continuous cerebral function monitoring

Hellström-Westas, Lena LU ; Rosén, Ingmar LU and Swenningsen, N W (1985) In Acta Paediatrica Scandinavica 74(5). p.741-748
Abstract
Cerebral electric activity was surveilled with a Cerebral Function Monitor (CFM) technique in 87 newborn infants under neonatal intensive care. A total of 26 infants had electrographical signs of repeated seizure activity. Among these infants 14 had periods of one hour or more of silent seizures activity. Among these infants 14 had periods of one hour or more of silent seizures, i.e. typical pattern of ictal epileptic activity on CFM without clinical symptoms or signs of convulsions. The occurrence of silent seizures and their pattern in relation to the clinical condition and management was unpredictable in most cases. Besides general limpness or flaccidity in an outward quiet baby these infants showed no clinical fits or clonic... (More)
Cerebral electric activity was surveilled with a Cerebral Function Monitor (CFM) technique in 87 newborn infants under neonatal intensive care. A total of 26 infants had electrographical signs of repeated seizure activity. Among these infants 14 had periods of one hour or more of silent seizures activity. Among these infants 14 had periods of one hour or more of silent seizures, i.e. typical pattern of ictal epileptic activity on CFM without clinical symptoms or signs of convulsions. The occurrence of silent seizures and their pattern in relation to the clinical condition and management was unpredictable in most cases. Besides general limpness or flaccidity in an outward quiet baby these infants showed no clinical fits or clonic convulsions. The findings indicate that anticonvulsive therapy in small infants may be insufficient and need re-evaluation, since the long-term effect of silent seizures on cerebral function and activity is still uncertain. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Seizures, newborn infants, electroencephalography, cerebral function monitoring
in
Acta Paediatrica Scandinavica
volume
74
issue
5
pages
741 - 748
publisher
Taylor & Francis
external identifiers
  • pmid:4050421
  • scopus:0021965738
ISSN
0001-656X
DOI
10.1111/j.1651-2227.1985.tb10024.x
language
English
LU publication?
yes
id
6a0a25ca-7449-4a3b-9e59-1920398fdd1b (old id 1103349)
date added to LUP
2008-08-11 12:31:59
date last changed
2017-07-30 04:26:04
@article{6a0a25ca-7449-4a3b-9e59-1920398fdd1b,
  abstract     = {Cerebral electric activity was surveilled with a Cerebral Function Monitor (CFM) technique in 87 newborn infants under neonatal intensive care. A total of 26 infants had electrographical signs of repeated seizure activity. Among these infants 14 had periods of one hour or more of silent seizures activity. Among these infants 14 had periods of one hour or more of silent seizures, i.e. typical pattern of ictal epileptic activity on CFM without clinical symptoms or signs of convulsions. The occurrence of silent seizures and their pattern in relation to the clinical condition and management was unpredictable in most cases. Besides general limpness or flaccidity in an outward quiet baby these infants showed no clinical fits or clonic convulsions. The findings indicate that anticonvulsive therapy in small infants may be insufficient and need re-evaluation, since the long-term effect of silent seizures on cerebral function and activity is still uncertain.},
  author       = {Hellström-Westas, Lena and Rosén, Ingmar and Swenningsen, N W},
  issn         = {0001-656X},
  keyword      = {Seizures,newborn infants,electroencephalography,cerebral function monitoring},
  language     = {eng},
  number       = {5},
  pages        = {741--748},
  publisher    = {Taylor & Francis},
  series       = {Acta Paediatrica Scandinavica},
  title        = {Silent seizures in sick infants in early life. Diagnosis by continuous cerebral function monitoring},
  url          = {http://dx.doi.org/10.1111/j.1651-2227.1985.tb10024.x},
  volume       = {74},
  year         = {1985},
}