[Systematic follow up study of posttraumatic EEG-abnormalities in children (author's transl)].
A systematic follow up study of EEG in 116 children, who after head injury were admitted to a surgical ward and examined within 3 days, the following day and the 30., 90., and 180. day after the trauma gave the following results; 1. EEG examinations indicate traumatic cerebral disturbances (foci 38%, general slowing 47%) nearly twice as often (53%) as neurological examination (30%). 2. 45% of the cases with general slowing may be detected by repeated examinations only because of the variability of the EEG in infancy. 3. Focal signs consisted mainly in delta-foci, in 74% of temporal localisation. S.c. reduction foci without slowing were not found. 4. Skull fractures were mostly combined with EEG changes (10 from 11). 5. Variations in vigilance were significantly more frequent in contusions in the initial stages, hyperventilation changes in the later stages. The reduction of amplitudes was without diagnostic relevance. 6. Normalization of slowing preceeded that of foci in only 23% although focal abnormalities persisted for more than 6 months in 14% and slowing only in 4%. 7. In 60% of the patients with traumatic EEG changes amnesia had not lasted longer than 10 minutes. Amnesias lasting more than 2 hours were always accompanied by EEG abnormalities. 8. Traumatic EEG abnormalities are not missed, if recordings are performed within 3 days and controlled 3 months after the trauma. The problem of the diagnostic classification is discussed and it is recommended, that the notion of contusion is used in a broader sense.
D001924:Brain Concussion / Q000175:diagnosis; D002648:Child; D006259:Craniocerebral Trauma / Q000175:diagnosis*; D004569:Electroencephalography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D012887:Skull Fractures / Q000175:diagnosis
Systematische EEG-Längsschnittuntersuchungen in der akuten Phase des kindlichen Schädel-Hirntraumas