@article{ref1,
title="Epilepsy associated with shaken baby syndrome",
journal="Child's nervous system",
year="2008",
author="Bourgeois, Marie and Di Rocco, Federico and Garnett, Matthew and Charron, Brigitte and Boddaert, Nathalie and Soufflet, Christine and Roujeau, Thomas and Zerah, Michel and Sainte-Rose, Christian and Plouin, Perrine and Renier, Dominique",
volume="24",
number="2",
pages="169-72; discussion 173",
abstract="OBJECT: The shaken baby syndrome (SBS) is an important cause of developmental delay in infants. Epileptic seizures are a common feature of this syndrome. The aim if this study is to analyse the impact of the early and late seizures disorder. MATERIALS AND METHODS: We have retrospectively reviewed the clinical and electrophysiological findings in a series of 404 children hospitalised with SBS. RESULTS: In the acute phase, clinical epileptic seizures of various semiologies were found in 73% of the infants. Only 11% of the children had a normal EEG on admission. A poor outcome was found in 88% of the children in case of persisting EEG anomalies despite anti-epileptic treatment with 48% mortality in these patients. The development of refractory epilepsy was also associated with a poor outcome in this series. In fact 96% of the children with seizure recurrence had behavioural problems. CONCLUSIONS: The early recognition and subsequent management of these seizures is vital to prevent further neurological injury. Delayed or recurrent epileptic seizures may occur with a different semiology to the seizures in the acute phase and are also associated with a poor prognosis.<p /><p>Language: en</p>",
language="en",
issn="0256-7040",
doi="10.1007/s00381-007-0493-4",
url="http://dx.doi.org/10.1007/s00381-007-0493-4"
}