Neonatal seizures and post-neonatal epilepsy: a seven-year follow-up study

Francesco Pisani, Benedetta Piccolo, Gaetano Cantalupo, Cristiana Copioli, Carlo Fusco, Annalisa Pelosi, Carlo Alberto Tassinari, Stefano Seri

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Abstract

BACKGROUND: Seizures are one of the most common symptoms of acute neurological disorders in newborns. This study aims at evaluating predictors of epilepsy in newborns with neonatal seizures.
METHODS: we recruited consecutively eighty-five neonates with repeated neonatal video-EEG-confirmed seizures between Jan 1999 and Dec 2004. The relationship between clinical, EEG and ultrasound data in neonatal period and the development of post-neonatal epilepsy was investigated at 7 years of age.
RESULTS: Fifteen patients (17.6%) developed post-neonatal epilepsy. Partial or no response to anticonvulsant therapy (OR 16.7, 95% CI: 1.8-155.8, p= .01; OR 47, 95% CI: 5.2-418.1, p<.01 respectively), severely abnormal cerebral ultrasound scan findings (OR: 5.4; 95% CI: 1.1-27.4; p<.04), severely abnormal EEG background activity (OR: 9.5; 95% CI: 1.6-54.2; p= .01) and the presence of status epilepticus (OR: 6.1; 95% CI: 1.8-20.3; p<.01) were found to be predictors of epilepsy. However, only the response to therapy seemed to be an independent predictor of post-neonatal epilepsy.
CONCLUSION: Neonatal seizures seem to be related to post-neonatal epilepsy. Recurrent and prolonged neonatal seizures may act on an epileptogenic substrate, causing further damage, which is responsible for the subsequent clinical expression of epilepsy.
Original languageEnglish
Pages (from-to)186–193
Number of pages8
JournalPediatric Research
Volume72
Issue number4
Early online date11 May 2012
DOIs
Publication statusPublished - Aug 2012

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    Pisani, F., Piccolo, B., Cantalupo, G., Copioli, C., Fusco, C., Pelosi, A., Tassinari, C. A., & Seri, S. (2012). Neonatal seizures and post-neonatal epilepsy: a seven-year follow-up study. Pediatric Research, 72(4), 186–193. https://doi.org/10.1038/pr.2012.66