Early continuous video electroencephalography in neonatal stroke.
Affiliation
Neonatal Brain Research Group, Cork University Maternity Hospital, Wilton, Cork, Ireland. Bh.walsh@ucc.ieIssue Date
2011-01MeSH
ElectroencephalographyFemale
Humans
Infant, Newborn
Intensive Care Units
Seizures
Sleep
Stroke
Videotape Recording
Metadata
Show full item recordCitation
Early continuous video electroencephalography in neonatal stroke. 2011, 53 (1):89-92 Dev Med Child NeurolPublisher
Mac Keith PressJournal
Developmental medicine and child neurologyDOI
10.1111/j.1469-8749.2010.03837.xPubMed ID
21087242Abstract
Perinatal stroke is the second most common cause of neonatal seizures, and can result in long-term neurological impairment. Diagnosis is often delayed until after seizure onset, owing to the subtle nature of associated signs. We report the early electroencephalographic (EEG) findings in a female infant with a perinatal infarction, born at 41 weeks 2 days and weighing 3.42 kg. Before the onset of seizures, the EEG from 3 hours after delivery demonstrated occasional focal sharp waves over the affected region. After electroclinical seizures, focal sharp waves became more frequent, complex, and of higher amplitude, particularly in 'quiet sleep'. In 'active sleep', sharp waves often disappeared. Diffusion-weighted imaging confirmed the infarct, demonstrating left frontal and parietal diffusion restriction. At 9 months, the infant has had no further seizures, and neurological examination is normal. To our knowledge, this report is the first to describe the EEG findings in perinatal stroke before seizures, and highlights the evolution of characteristic background EEG features.Item Type
ArticleLanguage
enISSN
1469-8749ae974a485f413a2113503eed53cd6c53
10.1111/j.1469-8749.2010.03837.x
Scopus Count
Collections
Related articles
- Benign myoclonic epilepsy in infancy (BMEI): a longitudinal electroclinical study of 22 cases.
- Authors: Darra F, Fiorini E, Zoccante L, Mastella L, Torniero C, Cortese S, Meneghello L, Fontana E, Bernardina BD
- Issue date: 2006
- The visual scoring of sleep and arousal in infants and children.
- Authors: Grigg-Damberger M, Gozal D, Marcus CL, Quan SF, Rosen CL, Chervin RD, Wise M, Picchietti DL, Sheldon SH, Iber C
- Issue date: 2007 Mar 15
- Early postnatal EEG features of perinatal arterial ischaemic stroke with seizures.
- Authors: Low E, Mathieson SR, Stevenson NJ, Livingstone V, Ryan CA, Bogue CO, Rennie JM, Boylan GB
- Issue date: 2014
- Focal semiologic and electroencephalographic features in patients with juvenile myoclonic epilepsy.
- Authors: Usui N, Kotagal P, Matsumoto R, Kellinghaus C, Lüders HO
- Issue date: 2005 Oct