Burst-suppression pattern in the electroencephalogram of newborns and infants. Its clinical expression
Burst-suppression pattern in the electroencephalogram (EEG) is associated with severe brain damage and has a bad prognosis in 85% of the cases. Objectives. To identify the prevalence of the EEG burst-suppression pattern (BSP) in fullterm newborns and infants, determine its etiol- ogy, clinical feat...
| Main Authors: | , , |
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| Format: | Article |
| Language: | Spanish |
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Instituto Nacional de Pediatría
2014-07-01
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| Series: | Acta Pediátrica de México |
| Subjects: | |
| Online Access: | http://ojs.actapediatrica.org.mx/index.php/APM/article/view/637 |
| _version_ | 1817977548324208640 |
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| author | Cervantes Blanco Jorge Mauricio Ruiz García Matilde García Briseño Aurora |
| author_facet | Cervantes Blanco Jorge Mauricio Ruiz García Matilde García Briseño Aurora |
| author_sort | Cervantes Blanco Jorge Mauricio |
| collection | DOAJ |
| description | Burst-suppression pattern in the electroencephalogram (EEG) is associated with severe brain damage and has a bad prognosis in 85% of the cases. Objectives. To identify the prevalence of the EEG burst-suppression pattern (BSP) in fullterm newborns and infants, determine its etiol- ogy, clinical features and course. Methods. A retrospective study was conducted. Between January 2008 and December 2012, 4,891 EEGs were reviewed. The EEGs of newborns and infants (< 3 months of age) with BSP were selected. Results. 11 cases identified with burst suppression pattern. The overall prevalence of which was 3.5%; 8.1% among the newborns and 1.2% among infants. Seizures were the main reason for doing an EEG in the newborn period in 7 patients and after day 28 in three. The clinical manifestations were abnormal level of consciousness (n=8), hypotonia (n=2), and spasticity (n=6). The main causes were hypoxic ischemic injury, stroke and kernicterus. There were two cases of early infantile epileptic encephalopathy. Two patients died before the third month of age; 8 survived an average of 13 months. All had epilepsy, neurologic retardation and disability. Two patients had persistent EEG burst-suppression pattern; 1 and 3 months after the neonatal period respectively; 7 had focal spikes and an asymmetric pattern. Conclusions. Electroencephalographic burst-suppression pat- tern predicts a severe neurologic injury in fullterm newborns and infants. |
| first_indexed | 2024-04-13T22:17:53Z |
| format | Article |
| id | doaj.art-f8559b30f0ca4155914e0a1e27596b9d |
| institution | Directory Open Access Journal |
| issn | 0186-2391 2395-8235 |
| language | Spanish |
| last_indexed | 2024-04-13T22:17:53Z |
| publishDate | 2014-07-01 |
| publisher | Instituto Nacional de Pediatría |
| record_format | Article |
| series | Acta Pediátrica de México |
| spelling | doaj.art-f8559b30f0ca4155914e0a1e27596b9d2022-12-22T02:27:25ZspaInstituto Nacional de PediatríaActa Pediátrica de México0186-23912395-82352014-07-0134418018810.18233/APM34No4pp180-188639Burst-suppression pattern in the electroencephalogram of newborns and infants. Its clinical expressionCervantes Blanco Jorge Mauricio0Ruiz García MatildeGarcía Briseño AuroraActa Pediátrica de MéxicoBurst-suppression pattern in the electroencephalogram (EEG) is associated with severe brain damage and has a bad prognosis in 85% of the cases. Objectives. To identify the prevalence of the EEG burst-suppression pattern (BSP) in fullterm newborns and infants, determine its etiol- ogy, clinical features and course. Methods. A retrospective study was conducted. Between January 2008 and December 2012, 4,891 EEGs were reviewed. The EEGs of newborns and infants (< 3 months of age) with BSP were selected. Results. 11 cases identified with burst suppression pattern. The overall prevalence of which was 3.5%; 8.1% among the newborns and 1.2% among infants. Seizures were the main reason for doing an EEG in the newborn period in 7 patients and after day 28 in three. The clinical manifestations were abnormal level of consciousness (n=8), hypotonia (n=2), and spasticity (n=6). The main causes were hypoxic ischemic injury, stroke and kernicterus. There were two cases of early infantile epileptic encephalopathy. Two patients died before the third month of age; 8 survived an average of 13 months. All had epilepsy, neurologic retardation and disability. Two patients had persistent EEG burst-suppression pattern; 1 and 3 months after the neonatal period respectively; 7 had focal spikes and an asymmetric pattern. Conclusions. Electroencephalographic burst-suppression pat- tern predicts a severe neurologic injury in fullterm newborns and infants.http://ojs.actapediatrica.org.mx/index.php/APM/article/view/637Patrón brote-supresiónelectroencefalograma neonatalcrisis convulsivasepilepsia |
| spellingShingle | Cervantes Blanco Jorge Mauricio Ruiz García Matilde García Briseño Aurora Burst-suppression pattern in the electroencephalogram of newborns and infants. Its clinical expression Acta Pediátrica de México Patrón brote-supresión electroencefalograma neonatal crisis convulsivas epilepsia |
| title | Burst-suppression pattern in the electroencephalogram of newborns and infants. Its clinical expression |
| title_full | Burst-suppression pattern in the electroencephalogram of newborns and infants. Its clinical expression |
| title_fullStr | Burst-suppression pattern in the electroencephalogram of newborns and infants. Its clinical expression |
| title_full_unstemmed | Burst-suppression pattern in the electroencephalogram of newborns and infants. Its clinical expression |
| title_short | Burst-suppression pattern in the electroencephalogram of newborns and infants. Its clinical expression |
| title_sort | burst suppression pattern in the electroencephalogram of newborns and infants its clinical expression |
| topic | Patrón brote-supresión electroencefalograma neonatal crisis convulsivas epilepsia |
| url | http://ojs.actapediatrica.org.mx/index.php/APM/article/view/637 |
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