Data di Pubblicazione:
2018
Citazione:
Predictive value of EEG for febrile seizure recurrence / A.M. Cappellari, C. Brizio, M.B. Mazzoni, G. Bertolozzi, F. Vianello, A. Rocchi, M. Belli, A. Nossa, D. Consonni, G.P. Milani, E.F. Fossali. - In: BRAIN & DEVELOPMENT. - ISSN 0387-7604. - 40:4(2018 Apr), pp. 311-315. [10.1016/j.braindev.2017.12.004]
Abstract:
Objective: To define the role of the EEG in predicting recurrence of febrile seizures (FS) in children after a first FS.
Methods: Children with a first simple or complex FS who underwent EEG at our hospital were retrospectively enrolled. EEG recordings were classified in three groups: normal, abnormal (slow activity or epileptiform discharges), and pseudo-petit mal dis- charge (PPMD) pattern. Children were followed-up for at least three years.
Results: A total of 126 patients met the entry criteria, and 113 of them completed the follow-up. Risk of FS recurrence decreased linearly with increasing age (2% per month). The risk was higher among patients with PPMD pattern (absolute risk 86%, adjusted relative risk 2.00) and abnormal EEG (epileptiform discharges: absolute risk 71%, adjusted relative risk 2.00; slow activity: absolute risk 56%, adjusted relative risk 1.44), compared with those with normal EEG (absolute risk 41%).
Conclusions: PPMD and abnormal EEG should be considered as an independent risk factor for FS recurrence.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
EEG; Febrile seizures; Pseudo-petit mal discharge
Elenco autori:
A.M. Cappellari, C. Brizio, M.B. Mazzoni, G. Bertolozzi, F. Vianello, A. Rocchi, M. Belli, A. Nossa, D. Consonni, G.P. Milani, E.F. Fossali
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