Prolonged or recurrent acute seizures after pediatric arterial ischemic stroke are associated with increasing epilepsy risk.
Identifieur interne : 001278 ( PubMed/Corpus ); précédent : 001277; suivant : 001279Prolonged or recurrent acute seizures after pediatric arterial ischemic stroke are associated with increasing epilepsy risk.
Auteurs : Christine K. Fox ; Mark T. Mackay ; Michael M. Dowling ; Paola Pergami ; Luigi Titomanlio ; Gabrielle DeveberSource :
- Developmental medicine and child neurology [ 1469-8749 ] ; 2017.
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
Links to Exploration step
pubmed:27422813Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Prolonged or recurrent acute seizures after pediatric arterial ischemic stroke are associated with increasing epilepsy risk.</title><author><name sortKey="Fox, Christine K" sort="Fox, Christine K" uniqKey="Fox C" first="Christine K" last="Fox">Christine K. Fox</name><affiliation><nlm:affiliation>Department of Neurology, University of California, San Francisco, San Francisco, CA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Mackay, Mark T" sort="Mackay, Mark T" uniqKey="Mackay M" first="Mark T" last="Mackay">Mark T. Mackay</name><affiliation><nlm:affiliation>Department of Neurology, Royal Children's Hospital, Melbourne, Vic., Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Dowling, Michael M" sort="Dowling, Michael M" uniqKey="Dowling M" first="Michael M" last="Dowling">Michael M. Dowling</name><affiliation><nlm:affiliation>Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Pergami, Paola" sort="Pergami, Paola" uniqKey="Pergami P" first="Paola" last="Pergami">Paola Pergami</name><affiliation><nlm:affiliation>Department of Neurology, Children's National Medical Center, Washington, DC, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Titomanlio, Luigi" sort="Titomanlio, Luigi" uniqKey="Titomanlio L" first="Luigi" last="Titomanlio">Luigi Titomanlio</name><affiliation><nlm:affiliation>Pediatric Migraine and Neurovascular Diseases Clinic, Robert Debrè Hospital, Paris, France.</nlm:affiliation></affiliation></author><author><name sortKey="Deveber, Gabrielle" sort="Deveber, Gabrielle" uniqKey="Deveber G" first="Gabrielle" last="Deveber">Gabrielle Deveber</name><affiliation><nlm:affiliation>Division of Neurology, Department of Pediatrics, Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:27422813</idno><idno type="pmid">27422813</idno><idno type="doi">10.1111/dmcn.13198</idno><idno type="wicri:Area/PubMed/Corpus">001278</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001278</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Prolonged or recurrent acute seizures after pediatric arterial ischemic stroke are associated with increasing epilepsy risk.</title><author><name sortKey="Fox, Christine K" sort="Fox, Christine K" uniqKey="Fox C" first="Christine K" last="Fox">Christine K. Fox</name><affiliation><nlm:affiliation>Department of Neurology, University of California, San Francisco, San Francisco, CA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Mackay, Mark T" sort="Mackay, Mark T" uniqKey="Mackay M" first="Mark T" last="Mackay">Mark T. Mackay</name><affiliation><nlm:affiliation>Department of Neurology, Royal Children's Hospital, Melbourne, Vic., Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Dowling, Michael M" sort="Dowling, Michael M" uniqKey="Dowling M" first="Michael M" last="Dowling">Michael M. Dowling</name><affiliation><nlm:affiliation>Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Pergami, Paola" sort="Pergami, Paola" uniqKey="Pergami P" first="Paola" last="Pergami">Paola Pergami</name><affiliation><nlm:affiliation>Department of Neurology, Children's National Medical Center, Washington, DC, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Titomanlio, Luigi" sort="Titomanlio, Luigi" uniqKey="Titomanlio L" first="Luigi" last="Titomanlio">Luigi Titomanlio</name><affiliation><nlm:affiliation>Pediatric Migraine and Neurovascular Diseases Clinic, Robert Debrè Hospital, Paris, France.</nlm:affiliation></affiliation></author><author><name sortKey="Deveber, Gabrielle" sort="Deveber, Gabrielle" uniqKey="Deveber G" first="Gabrielle" last="Deveber">Gabrielle Deveber</name><affiliation><nlm:affiliation>Division of Neurology, Department of Pediatrics, Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Developmental medicine and child neurology</title><idno type="eISSN">1469-8749</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><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="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" 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></textClass></profileDesc></teiHeader><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></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Dev Med Child Neurol</MedlineTA><NlmUniqueID>0006761</NlmUniqueID><ISSNLinking>0012-1622</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Dev Med Child Neurol. 2017 Jan;59(1):6</RefSource><PMID Version="1">27519161</PMID></CommentsCorrections></CommentsCorrectionsList><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" 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