Volume 26, Issue 4 (Jun 2018)
JSSU 2018, 26(4): 294-305 |
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Fallah R, Yarhosseini Z, Nafisi Moghadam R, Ahrar yazdi M.
Evaluation of brain CT scan findings of neonates with clinical seizure admitted to Yazd Shahid Sadoughi Hospital and its correlation with clinical findings
. JSSU 2018; 26 (4) :294-305
URL: http://jssu.ssu.ac.ir/article-1-4202-en.html
URL: http://jssu.ssu.ac.ir/article-1-4202-en.html
Abstract: (6275 Views)
Introdution: Seizure is the most common neurologic symptom of neonatal period and brain CT scan can be helpful in finding of its etiology. The purpose of present study was to evaluate brain CT scan findings of admitted neonates with clinical seizure and its correlation with clinical findings.
Methods: In a retrospective descriptive study, medical records and brain CT scan findings of neonates with clinical seizure who were admitted to Neonatal Intensive Care Unit or Pediatric Ward of Shahid Sadoughi Hospital, Yazd, Iran were evaluated from 2007–2016.
Results: Brain CT scans of 41 girls (49.4%) and 42 boys (50.6%) were evaluated and brain CT scan was normal abnormal in 29 newborns (35%). Abnormal brain CT was more frequent in neonates with history of birth asphyxia (63.6% vs. 24.6%, p= 0.001), partial seizure (58% vs. 21.2%) and seizure in less than 72 hours of birth (55% and vs. 28.6%, p= 0.03).
Conclusion: Based on the result of present study, brain CT scans might be useful in detection of brain pathology of seizure causes in neonate with history of birth asphyxia, partial seizure and seizure in less than 72 hours of birth.
Methods: In a retrospective descriptive study, medical records and brain CT scan findings of neonates with clinical seizure who were admitted to Neonatal Intensive Care Unit or Pediatric Ward of Shahid Sadoughi Hospital, Yazd, Iran were evaluated from 2007–2016.
Results: Brain CT scans of 41 girls (49.4%) and 42 boys (50.6%) were evaluated and brain CT scan was normal abnormal in 29 newborns (35%). Abnormal brain CT was more frequent in neonates with history of birth asphyxia (63.6% vs. 24.6%, p= 0.001), partial seizure (58% vs. 21.2%) and seizure in less than 72 hours of birth (55% and vs. 28.6%, p= 0.03).
Conclusion: Based on the result of present study, brain CT scans might be useful in detection of brain pathology of seizure causes in neonate with history of birth asphyxia, partial seizure and seizure in less than 72 hours of birth.
Type of Study: Original article |
Subject:
Pediatrics
Received: 2017/05/15 | Accepted: 2017/10/14 | Published: 2018/09/15
Received: 2017/05/15 | Accepted: 2017/10/14 | Published: 2018/09/15
References
1. Vesoulis ZA, Mathur AM. Advances in management of neonatal seizures. Indian J Pediatr 2014; 81(6): 592-8.
2. Donovan MD, Griffin BT, Kharoshankaya L, Cryan JF, Boylan GB. Pharmacotherapy for neonatal seizures: current knowledge and future perspectives. Drugs 2016; 76(6):647-61.
3. Mikati MA, Hani AJ. Neonatal Seizures. Kliegman RM, Stanton BF, Schor NF, St. Geme JW, Behrman RE. Nelson Textbook of Pediatrics. Philadelphia, Elsevier 2016; 20 Th edition, Pp: 2849-54.
4. Hallberg B, Blennow M. Investigations for neonatal seizures. Semin Fetal Neonatal Med 2013; 18(4):196-201.
5. Lehman RL, Schor NF. Neurologic Evaluation. Kliegman RM, Stanton BF, Schor NF, St. Geme JW, Behrman RE. Nelson Textbook of Pediatrics. Philadelphia, Elsevier 2016; 20 Th edition, Pp: 2800.
6. Sands TT, McDonough TL . Recent advances in neonatal seizures. Curr Neurol Neurosci Rep 2016; 16(10):92.
7. Hess CP, A. Barkovich J. Seizures: emergency neuroimaging. Neuroimaging Clin N Am 2010; 20(4):619-37.
8. Fallah R, Falahatian Mehrjardi H, Nafisi Moghadam R, Sepehri M. Comparison of brain CT scan and without contrast MRI findings of epileptic children. Q Horizon Med Sci 2016; 22 (2):165-70. [ Article in Persian ]
9. Sabzehei MK, Basiri B, Bazmamoun H. The etiology, clinical type, and short outcome of seizures in newborns hospitalized in Besat Hospital/Hamadan/ Iran. Iran J Child Neurol 2014; 8(2):24-8.
10. Farhadi R, Alaee A, Alipour Z, Abbaskhanian A, Nakhshab M, Derakhshanfar H. Prevalence of stroke in neonates who admitted with seizures in Neonatal Intensive Care Unit. Iran J Child Neurol 2015; 9(4):41-7.
11. Talebian A, Jahangiri M, Rabiee M, Masoudi Alavi N, Akbari H, Sadat Z. The etiology and clinical evaluations of neonatal seizures in Kashan, Iran. Iran J Child Neurol 2015; 9(2):29-35.
12. Dehdashtian M, Momen AA, Ziae T, Moradkhani SH. Evaluation of seizure etiology in convulsive neonates admitted to Imam Khomeini and Abozar hospitals of Ahvaz 2004-2007. Jundishapur Scientific Medical Journal 2009, 8; 2(61): 163-67. [Article in Persian]
13. Hameed AM, AL-Hijia NN. The Findings of brain computed tomography in neonatal seizure. Medical Journal of Babylon 2011, 8; 1: 49-58.
14. Rehman Malik A, Iqbal Quddusi A, Naila. Neonatal seizures, experience at Children Hospital and Institute of Child Health Multan. Pak J Med Sci 2013; 29(5):1128-31.
15. Alcover-Bloch E, Campistol J, Iriondo-Sanz M. Neonatal seizures, our experience. Rev Neurol 2004, 1 -15; 38(9):808-12. [Article in Spanish]
16. Eghbalian F, Rasuli B, Monsef F. Frequency, causes, and findings of brain CT scans of neonatal seizure at Besat Hospital, Hamadan, Iran. Iran J Child Neurol 2015; 9(1):56-63.
17. Moayedi AR, Zakeri S, Moayedi F. Neonatal seizure: etiology and type. Iran J Child Neurology 2007; 23-26.
18. Sanjeev K, Ashok G. Prevalence of seizures in hospitalized neonate. JK science 2007; 9(1):27-29.
19. Kohelet D, Shoehart R, Lusky A, et al. Israel Neonatal Network, risk factors for neonatal seizures in very low birth weight infants: population-based study. J Pediatr 2005; 16(8):245-251.
20. Nunes ML, Martins MP, Barea BM, Wainberg RC, Costa JC. Neurological outcome of newborns with neonatal seizures: a cohort study in a tertiary university hospital. Arq Neuropsiquiatr 2008; 66 (2A):168-74.
21. Ghanshyambhai P, Sharma D, Patel A, Shastri S. To study the incidence, etiology and EEG profile of neonatal seizures: a prospective observational study from India. J Matern Fetal Neonatal Med 2016; 29(4):554-8.
22. Sadeghian A, Damghanian M, Shariati M . Neonatal seizures in a rural Iranian district hospital: etiologies, incidence and predicting factors. Acta Med Iran 2012; 50(11):760-4.
23. Mwaniki M, Mathenge A, Gwer S, Mturi N, Bauni E, Newton CR, Berkley J, Idro R. Neonatal seizures in a rural Kenyan District Hospital: aetiology, incidence and outcome of hospitalization. BMC Med 2010, 17; 8:16.
24. Saliba RM, Annegers FJ, Waller DK, Tyson JE, Mizrahi EM. Risk factors for neonatal seizures: a population-based study, Harris County, Texas, 1992-1994. Am J Epidemiol 2001; 154(1):14-20.
25. Holanda MR, Melo AN. Comparative clinical study of preterm and full-term newborn neonatal seizures. Arq Neuropsiquiatr 2006; 64(1):45-50.
26. Najeeb S, Qureshi AM, Anis-ur-Rehman, Ahmad F, Shah S, Khan AY, Siddiqui TS . Aetiology and types of neonatal seizures presenting at Ayub Teaching Hospital Abbottabad. J Ayub Med Coll Abbottabad 2012; 24(1):33-7.
27. Taghdiri M M, Emdadi M, Eghbalian F, Tavasoli A R, Jabari M. Radioimaging in convulsion neonates based on brain CT scan without contrast. Sci J Hamadan Univ Med Sci 2005; 11(4):50-54.
28. Hirtz D, Ashwal S, Berg A, Bettis D, Camfield C, Camfield P, et al. Practice parameter: Evaluating a first nonfebrile seizure in children: Report of the quality standards subcommittee of the American Academy of Neurology, the Child Neurology Society, and the American Epilepsy Society. Neurol 2000; 55(5):616-23.
29. Hashemi AH, Homam M, Naghib S. Unenhanced brain CT findings in afebrile patients over five years age with first episode of seizure. Iran J Radiol 2008; 5(Suppl1):32-3. [Article in Persian]
30. Sharieff GQ, Hendry PL. Afebrile pediatric seizures. Emerg Med Clin North Am. 2011; 29(1):95-108.
31. Scher MS. Seizure in the newborn infant: diagnosis, treatment, and outcome. Clin perinatal 2005; 24: 735-772.
32. Koren G, Warwicke B, Rajchgot R, Donn S. Intravenous paraldehyde for seizure control in newborn. Ann Neurol 2002; 36: 108-110.
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