ABSTRACT
Epilepsy is known to have a higher association with cerebral Palsy and it's often severe. This retrospective study described 42 children with cerebral Palsy and epilepsy between 1985 and 1998 in Pediatric Department of Monastir. The mean age of patients was 6 years. The first seizure occurred during the first year of life in 47.6%. Generalized epilepsy was the predominant form [61%], followed by partial epilepsy [34.1%] and west syndrome [4.9%]. Polytherapy was required for 46.4% of patients and seizures control was achieved
ABSTRACT
Jaundice is the common clinical sign in neonatal medicine. Its causes were dominated by ABO incompatibility. The aim of the study was to compare the effectiveness of ordinary phototherapy [OP] versus intensive phototherapy [IP] in the treatment of hyperbilirubinemia due to ABO incompatibility. A total of 104 newborns infants with haemolytic hyperbilirubinemia were evaluated. Group I [G I], 52 infants treated with OP or OP and exchange transfusion and group II [G II], 52 infants treated with IP or IP and OP. Our study demonstrated that the overall percentage decline rate of unconjugated serum bilirubin was 0.31 %/h in G I and 0.7 %/h in G II. Median duration of phototherapy was shorter in G II [16h vs 47.3h]. The use of continue OP was reduced in G II [7 vs 31 cases]. Exchange transfusion was no longer used in G I. Also we found significant decrease of the mean duration of hospitalisation in G II [4.54 vs 5.15 days] This study showed that in G II of jaundiced babies treated with IP, kernicterus was totally eliminated also the need of exchange transfusion. The use of IP reduced mother-baby separation