[Post-traumatic epilepsy].
There might be 3 different forms of epilepsy following head injury: earliest seizures with occasional characteristics, early seizures prompting considerations of differential diagnosis, and, late seizures which might have a chronic course = posttraumatic epilepsy proper. The risks to have posttraumatic epilepsy for a child suffering from head injury are: penetrating cranial trauma, early seizures, intracranial hemorrhage, unconsciousness > 24 hours, depressed fracture with dural laceration and unconsciousness > 24 hours, fractures on the base of the skull, focal synchronous activity in the EEG which is related to the site of brain injury. If a or > or = 2 of b-g are given we recommend prophylactic antiepileptic therapy: in the younger (< 5 years) with a low dose of phenobarbital and in the elder (> 5 years) carbamazepine for at least 2 years of treatment.
Jacobi
G
G
Abteilung für Pädiatrische Neurologie, Universität Frankfurt/Main.
D001930:Brain Injuries / Q000150:complications; D002220:Carbamazepine / Q000008:administration & dosage; D002648:Child; D004305:Dose-Response Relationship, Drug; D004569:Electroencephalography / Q000187:drug effects; D004834:Epilepsy, Post-Traumatic / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D009460:Neurologic Examination; D010634:Phenobarbital / Q000008:administration & dosage; D012307:Risk Factors; D012887:Skull Fractures / Q000150:complications
D002220:Carbamazepine; D010634:Phenobarbital
Posttraumatische Epilepsien.