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    Early continuous video electroencephalography in neonatal stroke.

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    Authors
    Walsh, Brian H
    Low, Evonne
    Bogue, Conor O
    Murray, Deirdre M
    Boylan, Geraldine B
    Affiliation
    Neonatal Brain Research Group, Cork University Maternity Hospital, Wilton, Cork, Ireland. Bh.walsh@ucc.ie
    Issue Date
    2011-01
    MeSH
    Electroencephalography
    Female
    Humans
    Infant, Newborn
    Intensive Care Units
    Seizures
    Sleep
    Stroke
    Videotape Recording
    
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    Citation
    Early continuous video electroencephalography in neonatal stroke. 2011, 53 (1):89-92 Dev Med Child Neurol
    Publisher
    Mac Keith Press
    Journal
    Developmental medicine and child neurology
    URI
    http://hdl.handle.net/10147/200032
    DOI
    10.1111/j.1469-8749.2010.03837.x
    PubMed ID
    21087242
    Abstract
    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
    Article
    Language
    en
    ISSN
    1469-8749
    ae974a485f413a2113503eed53cd6c53
    10.1111/j.1469-8749.2010.03837.x
    Scopus Count
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    Cork University Hospital

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