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Published on: May 16, 2019
[Prevention of epilepsy in children following birth trauma]
Insights
Epileptic seizures affect over 25% of children with perinatal trauma, particularly those with asphyxia. Early observation and intervention are crucial for preventing epilepsy and improving outcomes in brain-damaged children.
Area of Science:
- Neurology
- Pediatrics
- Developmental Psychology
Context:
- Prenatal and postnatal trauma can lead to significant neuropsychiatric complications in children.
- Epileptic seizures are a notable complication, observed in 25.8% of a study group of 120 children with trauma.
- Asphyxia during birth was identified as a risk factor for developing epilepsy.
Purpose:
- To investigate the incidence and characteristics of epileptic seizures in children with prenatal and postnatal trauma.
- To identify risk factors associated with epilepsy in this vulnerable population.
- To emphasize the importance of early detection and intervention for preventing epilepsy and improving rehabilitation.
Summary:
- Epileptic seizures occurred in 31 out of 120 children (25.8%) experiencing prenatal and postnatal trauma.
- Children with a history of asphyxia showed a higher incidence of epilepsy compared to other perinatal trauma.
- Seizures manifested from birth up to 100 months, with delayed onset cases showing early behavioral issues like agitation and sleep disturbances.
Impact:
- Highlights the critical need for specialized neuropsychiatric observation for children with perinatal trauma.
- Suggests that early intervention and treatment can potentially prevent the development of epilepsy in some children.
- Underscores the role of timely management in the better rehabilitation of brain-damaged children.
Abstract:
In a group of 120 children with prenatal and postnatal trauma 31 children with epileptic seizures were found who accounted for 25.8% of neuropsychiatric complications in this group. Epilepsy was more frequent in children with a history of asphyxia than after other forms of perinatal trauma. Seizures were observed either immediately after birth or up to the age of 100 months. In children with delayed onset of seizures evidence of abnormal behaviour with excessive motor agitation, sleep and appetite disturbances was found from the very birth. Besides prophylactic measures applied to avoid complications of pregnancy and labour it is indispensable to separate the children with perinatal trauma and group them for further neuropsychiatric observation in outpatient clinics and to begin treatment which may prevent development of frank epilepsy in at least a part of these children and may contribute to better rehabilitation of brain-damaged children.
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