| Subclinical status epilepticus in a child after closed head injury. | |
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MedLine Citation:
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PMID: 8601866 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 14-year-old girl with closed head injury and a normal computerized tomographic scan underwent an electroencephalographic tracing that surprisingly revealed typical status epilepticus electrical activity. No episodes of motor clinical convulsions were observed from the moment of trauma throughout the admission period. Treatment with phenytoin caused a dramatic clinical improvement. Repeated electroencephalogram (EEG) 4 days later was within normal limits. Posttraumatic seizures are reported after head injury, yet, the issue of "invisible" or "subclinical" seizures associated with trauma is not discussed. In these cases EEG, (an uncommon examination in the early period after head injury) may be the only tool for proper diagnosis and treatment with anticonvulsants. This case report raises the question of the role of EEG in the unconscious patients who does not present with obvious convulsions. Clinical indications for performing EEG after head trauma without seizures are discussed. |
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Authors:
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L Beni; S Constantini; I Matoth; S Pomeranz |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Journal of trauma Volume: 40 ISSN: 0022-5282 ISO Abbreviation: J Trauma Publication Date: 1996 Mar |
Date Detail:
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Created Date: 1996-05-09 Completed Date: 1996-05-09 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0376373 Medline TA: J Trauma Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 449-51 Citation Subset: AIM; IM |
Affiliation:
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Department of Neurosurgery, Hadassah Hebrew University Hospital, Jerusalem, Israel. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Anticonvulsants / therapeutic use Craniocerebral Trauma / complications* Electroencephalography Female Humans Phenytoin / therapeutic use Status Asthmaticus / diagnosis, drug therapy, etiology* Tomography, X-Ray Computed Wounds, Nonpenetrating / complications* |
| Chemical | |
Reg. No./Substance:
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0/Anticonvulsants; 57-41-0/Phenytoin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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