The Role of Continuous Electroencephalography in Childhood Encephalitis

Abstract Background Seizures are a known complication of encephalitis. We sought to determine the incidence of seizures and the relative utility of routine and continuous electroencephalography in children with suspected encephalitis. Methods Records from all 217 children (ages 0-20 years, enrolled...

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Bibliographic Details
Published in:Pediatric neurology 2014-04, Vol.50 (4), p.318-323
Main Authors: Gold, Jeffrey J., MD, PhD, Crawford, John R., MD, MS, Glaser, Carol, MD, Sheriff, Heather, BA, Wang, Sonya, MD, Nespeca, Mark, MD
Format: Article
Language:English
Subjects:
Adolescent
Brain - physiopathology
California - epidemiology
Child
Child, Preschool
Comorbidity
EEG
electroencephalography
Electroencephalography - methods
encephalitis
Encephalitis - complications
Encephalitis - epidemiology
Encephalitis - physiopathology
epilepsy
Female
Humans
Incidence
Infant
Infant, Newborn
Male
Neurology
Pediatrics
Prospective Studies
Retrospective Studies
seizures
Seizures - epidemiology
Seizures - etiology
Seizures - physiopathology
Young Adult
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Summary:Abstract Background Seizures are a known complication of encephalitis. We sought to determine the incidence of seizures and the relative utility of routine and continuous electroencephalography in children with suspected encephalitis. Methods Records from all 217 children (ages 0-20 years, enrolled 2004-2011) from our institution who had diagnostic samples sent to the California Encephalitis Project were reviewed. Results One hundred children (46%) had at least one seizure observed clinically or recorded on electroencephalography. Diffuse abnormalities (e.g., generalized slowing) were more common than focal or epileptiform abnormalities (88.9% vs 63.2% and 57.3%, respectively; P  
ISSN:0887-8994
1873-5150
DOI:10.1016/j.pediatrneurol.2013.12.014