Posttraumatic epilepsy in critically ill children with traumatic brain injury

• Published in: Child's nervous system 2023-11, Vol.39 (11), p.3207-3214
• Main Authors: Ulgen Tekerek, Nazan, Dursun, Oguz, Asilioglu Yener, Nazik, Yildizdas, Dincer, Anıl, Ayşe Berna, Kendirli, Tanil, Koker, Alper, Karalok, Selen, Aksoy, Ayşe, Kinik Kaya, Elif, Ekinci, Faruk, Incecik, Faruk, Olgac Dundar, Nihal, Durak, Fatih, Botan, Edin, Havan, Merve, Sahin, Suleyman, Duman, Ozgur, Haspolat, Senay
• Format: Article
• Language: English
• Subjects: Medicine; Medicine & Public Health; Neurosciences; Neurosurgery; Original Article
• ISSN: 0256-7040; 1433-0350
• DOI: 10.1007/s00381-023-06087-9

Purpose The aim of this study was to determine the clinical, laboratory, and radiological factors related with posttraumatic epilepsy (PTE). Methods The study is a multicenter descriptive cross-sectional cohort study. Children who followed up for TBI in the pediatric intensive care unit between 2014 and 2021 were included. Demographic data and clinical and radiological parameters were recorded from electronic case forms. All patients who were in the 6-month posttraumatic period were evaluated by a neurologist for PTE. Results Four hundred seventy-seven patients were included. The median age at the time of trauma was 66 (IQR 27–122) months, and 298 (62.5%) were male. Two hundred eighty (58.7%) patients had multiple traumas. The mortality rate was 11.7%. The mean duration of hospitalization, pediatric intensive care unit hospitalization and mechanical ventilation, Rotterdam score, PRISM III score, and GCS at admission were higher in patients with epilepsy ( p