Prolonged or recurrent acute seizures after pediatric arterial ischemic stroke are associated with increasing epilepsy risk.
Identifieur interne : 000531 ( PubMed/Checkpoint ); précédent : 000530; suivant : 000532Prolonged or recurrent acute seizures after pediatric arterial ischemic stroke are associated with increasing epilepsy risk.
Auteurs : Christine K. Fox [États-Unis] ; Mark T. Mackay [Australie] ; Michael M. Dowling [États-Unis] ; Paola Pergami [États-Unis] ; Luigi Titomanlio [France] ; Gabrielle Deveber [Canada]Source :
- Developmental medicine and child neurology [ 1469-8749 ] ; 2017.
Descripteurs français
- KwdFr :
- Accident vasculaire cérébral (épidémiologie), Accident vasculaire cérébral (étiologie), Adolescent, Encéphalopathie ischémique (), Enfant, Enfant d'âge préscolaire, Facteurs de l'âge, Facteurs de risque, Femelle, Humains, Mâle, Nourrisson, Nouveau-né, Récidive, Systèmes en direct, Épilepsie (épidémiologie), Études de suivi.
- MESH :
- épidémiologie : Accident vasculaire cérébral, Épilepsie.
- étiologie : Accident vasculaire cérébral.
- Adolescent, Encéphalopathie ischémique, Enfant, Enfant d'âge préscolaire, Facteurs de l'âge, Facteurs de risque, Femelle, Humains, Mâle, Nourrisson, Nouveau-né, Récidive, Systèmes en direct, Études de suivi.
English descriptors
- KwdEn :
- MESH :
- complications : Brain Ischemia.
- epidemiology : Epilepsy, Stroke.
- etiology : Stroke.
- Adolescent, Age Factors, Child, Child, Preschool, Female, Follow-Up Studies, Humans, Infant, Infant, Newborn, Male, Online Systems, Recurrence, Risk Factors.
Abstract
To determine epilepsy risk factors after pediatric stroke.
DOI: 10.1111/dmcn.13198
PubMed: 27422813
Affiliations:
- Australie, Canada, France, États-Unis
- Californie, District de Columbia, Ontario, Texas, Île-de-France
- Paris, Toronto
- Université de Toronto
Links toward previous steps (curation, corpus...)
Links to Exploration step
pubmed:27422813Le document en format XML
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<author><name sortKey="Titomanlio, Luigi" sort="Titomanlio, Luigi" uniqKey="Titomanlio L" first="Luigi" last="Titomanlio">Luigi Titomanlio</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term>
<term>Age Factors</term>
<term>Brain Ischemia (complications)</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Epilepsy (epidemiology)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Infant</term>
<term>Infant, Newborn</term>
<term>Male</term>
<term>Online Systems</term>
<term>Recurrence</term>
<term>Risk Factors</term>
<term>Stroke (epidemiology)</term>
<term>Stroke (etiology)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Accident vasculaire cérébral (épidémiologie)</term>
<term>Accident vasculaire cérébral (étiologie)</term>
<term>Adolescent</term>
<term>Encéphalopathie ischémique ()</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Facteurs de l'âge</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Nourrisson</term>
<term>Nouveau-né</term>
<term>Récidive</term>
<term>Systèmes en direct</term>
<term>Épilepsie (épidémiologie)</term>
<term>Études de suivi</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Brain Ischemia</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Epilepsy</term>
<term>Stroke</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Stroke</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Accident vasculaire cérébral</term>
<term>Épilepsie</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Accident vasculaire cérébral</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Age Factors</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Infant</term>
<term>Infant, Newborn</term>
<term>Male</term>
<term>Online Systems</term>
<term>Recurrence</term>
<term>Risk Factors</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Encéphalopathie ischémique</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Facteurs de l'âge</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Nourrisson</term>
<term>Nouveau-né</term>
<term>Récidive</term>
<term>Systèmes en direct</term>
<term>Études de suivi</term>
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<front><div type="abstract" xml:lang="en">To determine epilepsy risk factors after pediatric stroke.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27422813</PMID>
<DateCreated><Year>2016</Year>
<Month>07</Month>
<Day>16</Day>
</DateCreated>
<DateCompleted><Year>2017</Year>
<Month>04</Month>
<Day>28</Day>
</DateCompleted>
<DateRevised><Year>2017</Year>
<Month>09</Month>
<Day>28</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1469-8749</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>59</Volume>
<Issue>1</Issue>
<PubDate><Year>2017</Year>
<Month>Jan</Month>
</PubDate>
</JournalIssue>
<Title>Developmental medicine and child neurology</Title>
<ISOAbbreviation>Dev Med Child Neurol</ISOAbbreviation>
</Journal>
<ArticleTitle>Prolonged or recurrent acute seizures after pediatric arterial ischemic stroke are associated with increasing epilepsy risk.</ArticleTitle>
<Pagination><MedlinePgn>38-44</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1111/dmcn.13198</ELocationID>
<Abstract><AbstractText Label="AIM" NlmCategory="OBJECTIVE">To determine epilepsy risk factors after pediatric stroke.</AbstractText>
<AbstractText Label="METHOD" NlmCategory="METHODS">A cohort of children with arterial ischemic stroke (birth-18y) was enrolled at 21 centers and followed for 1 year. Acute seizures (≤7d after stroke) and active epilepsy (at least one unprovoked remote seizure plus maintenance anticonvulsant at 1y) were identified. Predictors were determined using logistic regression.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Among 114 patients (28 neonates and 86 children) enrolled, 26 neonates (93%) and 32 children (37%) had an acute seizure. Acute seizures lasted longer than 5 minutes in 23 patients (40%) and were frequently recurrent: 33 (57%) had 2 to 10 seizures and 11 (19%) had more than 10. Among 109 patients with 1-year follow-up, 11 (10%) had active epilepsy. For each year younger, active epilepsy was 20% more likely (odds ratio [OR] 0.8, 95% confidence interval [CI] 0.6-0.99, p=0.041). Prolonged or recurrent acute seizures also increased epilepsy risk. Each additional 10 minutes of the longest acute seizure increased epilepsy risk fivefold (OR 4.7, 95% CI 1.7-13). Patients with more than 10 acute seizures had a 30-fold increased epilepsy risk (OR 30, 95% CI 2.9-305).</AbstractText>
<AbstractText Label="INTERPRETATION" NlmCategory="CONCLUSIONS">Pediatric stroke survivors, especially younger children, have a high risk of epilepsy 1 year after stroke. Prolonged or recurrent acute seizures increase epilepsy risk in a dose-dependent manner.</AbstractText>
<CopyrightInformation>© 2016 Mac Keith Press.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Fox</LastName>
<ForeName>Christine K</ForeName>
<Initials>CK</Initials>
<AffiliationInfo><Affiliation>Department of Neurology, University of California, San Francisco, San Francisco, CA, USA.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Pediatrics, University of California, San Francisco, San Francisco, CA, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Mackay</LastName>
<ForeName>Mark T</ForeName>
<Initials>MT</Initials>
<AffiliationInfo><Affiliation>Department of Neurology, Royal Children's Hospital, Melbourne, Vic., Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Murdoch Children's Research Institute, Melbourne, Vic., Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Dowling</LastName>
<ForeName>Michael M</ForeName>
<Initials>MM</Initials>
<AffiliationInfo><Affiliation>Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, USA.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, Dallas, TX, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Pergami</LastName>
<ForeName>Paola</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Department of Neurology, Children's National Medical Center, Washington, DC, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Titomanlio</LastName>
<ForeName>Luigi</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Pediatric Migraine and Neurovascular Diseases Clinic, Robert Debrè Hospital, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Deveber</LastName>
<ForeName>Gabrielle</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>Division of Neurology, Department of Pediatrics, Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><CollectiveName>SIPS Investigators</CollectiveName>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D016448">Multicenter Study</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2016</Year>
<Month>07</Month>
<Day>16</Day>
</ArticleDate>
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<MedlineJournalInfo><Country>England</Country>
<MedlineTA>Dev Med Child Neurol</MedlineTA>
<NlmUniqueID>0006761</NlmUniqueID>
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<CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Dev Med Child Neurol. 2017 Jan;59(1):6</RefSource>
<PMID Version="1">27519161</PMID>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000367" MajorTopicYN="N">Age Factors</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002545" MajorTopicYN="N">Brain Ischemia</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D004827" MajorTopicYN="N">Epilepsy</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007223" MajorTopicYN="N">Infant</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007231" MajorTopicYN="N">Infant, Newborn</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009862" MajorTopicYN="N">Online Systems</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012008" MajorTopicYN="N">Recurrence</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D020521" MajorTopicYN="N">Stroke</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
<QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName>
</MeshHeading>
</MeshHeadingList>
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<ForeName>Adam</ForeName>
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<Investigator ValidYN="Y"><LastName>Abdalla</LastName>
<ForeName>Abdalla</ForeName>
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<Investigator ValidYN="Y"><LastName>Zafeiriou</LastName>
<ForeName>Dimitrios</ForeName>
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<Investigator ValidYN="Y"><LastName>Friedman</LastName>
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<ForeName>Marta Hernandez</ForeName>
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<Investigator ValidYN="Y"><LastName>Guilliams</LastName>
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<Investigator ValidYN="Y"><LastName>Elbers</LastName>
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<li>France</li>
<li>États-Unis</li>
</country>
<region><li>Californie</li>
<li>District de Columbia</li>
<li>Ontario</li>
<li>Texas</li>
<li>Île-de-France</li>
</region>
<settlement><li>Paris</li>
<li>Toronto</li>
</settlement>
<orgName><li>Université de Toronto</li>
</orgName>
</list>
<tree><country name="États-Unis"><region name="Californie"><name sortKey="Fox, Christine K" sort="Fox, Christine K" uniqKey="Fox C" first="Christine K" last="Fox">Christine K. Fox</name>
</region>
<name sortKey="Dowling, Michael M" sort="Dowling, Michael M" uniqKey="Dowling M" first="Michael M" last="Dowling">Michael M. Dowling</name>
<name sortKey="Pergami, Paola" sort="Pergami, Paola" uniqKey="Pergami P" first="Paola" last="Pergami">Paola Pergami</name>
</country>
<country name="Australie"><noRegion><name sortKey="Mackay, Mark T" sort="Mackay, Mark T" uniqKey="Mackay M" first="Mark T" last="Mackay">Mark T. Mackay</name>
</noRegion>
</country>
<country name="France"><region name="Île-de-France"><name sortKey="Titomanlio, Luigi" sort="Titomanlio, Luigi" uniqKey="Titomanlio L" first="Luigi" last="Titomanlio">Luigi Titomanlio</name>
</region>
</country>
<country name="Canada"><region name="Ontario"><name sortKey="Deveber, Gabrielle" sort="Deveber, Gabrielle" uniqKey="Deveber G" first="Gabrielle" last="Deveber">Gabrielle Deveber</name>
</region>
</country>
</tree>
</affiliations>
</record>
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