Predição da etiologia baseada no tipo clínico das convulsoes no período neonatal / Prediction of etiology based on the clinical type of convulsion in the neonatal period
Acta cir. bras
;
20(supl.1): 227-231, 2005.
Artículo
en Portugués
| LILACS
| ID: lil-474163
ABSTRACT
OBJECTIVE:
To determine whether the seizure clinical type is predictive of etiology.METHODS:
This is a prospective study from 9 neonatal and pediatric intensive care units. Neonatal seizures were defined clinically as described by Volpe. The seizures etiology was defined by positive clinical date, cranial sonogram and laboratory investigation routinely obtained in all neonates with seizures. Correlation between seizures type and etiologies was determined by Odds ration (OR).RESULTS:
During one year 89 neonates develop neonatal seizures and the etiologies were determined. The mains seizures types were subtle (n = 59; 66.3%), tonic (n = 27; 30.4%), clonic (n = 20; 22.4%), myoclonic (n = 4; 4.5%). The most frequent etiologies determined were asphyxia (n = 60; 67.4%), hypocalcemia (n = 19; 21.3%), hypoglicemia (n = 14; 15.7%), peri-intraventricular hemorrhage (n = 13; 14%). The OR estimate that clonic seizures (OR 5.65 - 1.34 < OR < 23.61%) is predictive to peri-intraventricular hemorrhage.CONCLUSION:
The OR estimate high risk to periventricular hemorrhage when the seizure is the clonic type. When the seizure is subtle type the risk is low to this etiology.
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Índice:
LILACS (Américas)
Asunto principal:
Convulsiones
Tipo de estudio:
Estudio de etiología
/
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Femenino
/
Humanos
/
Masculino
/
Recién Nacido
Idioma:
Portugués
Revista:
Acta cir. bras
Asunto de la revista:
Cirugía General
/
Procedimentos Cir£rgicos Operat¢rios
Año:
2005
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
UFRN/BR
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