Skip to main content Accessibility help
×
Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-11-28T05:00:46.075Z Has data issue: false hasContentIssue false

Chapter 5 - Post-traumatic Epilepsy in Children

Published online by Cambridge University Press:  10 August 2021

Marco Mula
Affiliation:
St George's Hospital Medical School, University of London
Get access

Summary

The incidence of traumatic brain injury (TBI) in children is estimated to be high, being an important cause of mortality and morbidity. Post traumatic seizures (PTS), post-traumatic epilepsy (PTE), and neuropsychiatric sequelae after TBI contribute to the medical health burden in children. PTE has been recognized as one of the most common forms of acquired epilepsies in young people, and it is associated with poor functional and psychosocial outcome. In this chapter, clinical presentation, diagnosis and management of PTE, and the role of antiepileptic drugs in children are discussed. In addition, the poorly understood pathophysiology of PTE is discussed with reference to genetic and neurophysiologic biomarkers and potential risk factors that increase the risk of developing PTE.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Centers for Disease Control and Prevention. Surveillance Report of Traumatic Brain Injury-related Emergency Department Visits, Hospitalizations, and Deaths—United States, 2014. Centers for Disease Control and Prevention, U.S. Department of Health and Human Services. Atlanta, Georgia; 2019.Google Scholar
Annegers, JF, Grabow, JD, Groover, RV, et al. Seizures after head trauma: a population study. Neurology. 1980;30(7 Pt 1):683–9.Google Scholar
Lowenstein, DH. Epilepsy after head injury: an overview. Epilepsia 2009;50 Suppl 2:49.Google Scholar
Park, JT, Chugani, HT. Post-traumatic epilepsy in children-experience from a tertiary referral center. Pediatr Neurol. 2015;52(2):174–81.Google Scholar
Arndt, DH, Lerner, JT, Matsumoto, JH, et al. Subclinical early posttraumatic seizures detected by continuous EEG monitoring in a consecutive pediatric cohort. Epilepsia 2013;54(10):1780–8.CrossRefGoogle Scholar
Arango, JI, Deibert, CP, Brown, D, Bell, M, Dvorchik, I, Adelson, PD. Posttraumatic seizures in children with severe traumatic brain injury. Childs Nerv Syst 2012;28(11):1925–9.Google Scholar
Emanuelson, I, Uvebrant, P. Occurrence of epilepsy during the first 10 years after traumatic brain injury acquired in childhood up to the age of 18 years in the south western Swedish population-based series. Brain Inj 2009;23(7):612–6.Google Scholar
Hahn, YS, Fuchs, S, Flannery, AM, Barthel, MJ, McLone, DG. Factors influencing posttraumatic seizures in children. Neurosurgery 1988;22(5):864–7.Google Scholar
Appleton, RE, Demellweek, C. Post-traumatic epilepsy in children requiring inpatient rehabilitation following head injury. J Neurol Neurosurg Psychiatry 2002;72(5):669–72.CrossRefGoogle ScholarPubMed
Annegers, JF, Coan, SP. The risks of epilepsy after traumatic brain injury. Seizure. 2000;9(7):453–7.CrossRefGoogle ScholarPubMed
Annegers, JF, Hauser, WA, Coan, SP, Rocca, WA. A population-based study of seizures after traumatic brain injuries. N Engl J Med. 1998;338(1):20–4.Google Scholar
Li, N, Yang, Y, Glover, DP, Zhang, J, et al. Evidence for impaired plasticity after traumatic brain injury in the developing brain. J Neurotrauma 2014;31(4):395403. www.ncbi.nlm.nih.gov/pubmed/24050267Google Scholar
Webster, KM, Sun, M, Crack, P, O’Brien, TJ, Shultz, SR, Semple, BD. Inflammation in epileptogenesis after traumatic brain injury. J Neuroinflammation 2017;14(1):10.Google Scholar
Ravizza, T, Balosso, S, Vezzani, A. Inflammation and prevention of epileptogenesis. Neurosci Lett 2011;497(3):223–30.Google Scholar
Peltola, J, Palmio, J, Korhonen, L, et al. Interleukin-6 and interleukin-1 receptor antagonist in cerebrospinal fluid from patients with recent tonic-clonic seizures. Epilepsy Res 2000;41(3):205–11.Google Scholar
Peltola, J, Laaksonen, J, Haapala, AM, Hurme, M, Rainesalo, S, Keranen, T. Indicators of inflammation after recent tonic-clonic epileptic seizures correlate with plasma interleukin-6 levels. Seizure 2002;11(1):44–6.Google Scholar
Crespel, A, Coubes, P, Rousset, M-C, et al. Inflammatory reactions in human medial temporal lobe epilepsy with hippocampal sclerosis. Brain Res 2002;952(2):159–69.Google Scholar
Cotter, D, Kelso, A, Neligan, A. Genetic biomarkers of posttraumatic epilepsy: A systematic review. Seizure 2017 Mar;46:53–8.Google Scholar
Diamond, ML, Ritter, AC, Failla, MD, et al. IL-1β associations with posttraumatic epilepsy development: a genetics and biomarker cohort study. Epilepsia 2014;55(7):1109–19.Google Scholar
Wagner, AK, Miller, MA, Scanlon, J, Ren, D, Kochanek, PM, Conley, YP. Adenosine A1 receptor gene variants associated with post-traumatic seizures after severe TBI. Epilepsy Res 2010;90(3):259–72.Google Scholar
Dadas, A, Washington, J, Diaz-Arrastia, R, Janigro, D. Biomarkers in traumatic brain injury (TBI): a review. Neuropsychiatr Dis Treat 2018;14:29893000.Google Scholar
Walker, LE, Janigro, D, Heinemann, U, Riikonen, R, Bernard, C, Patel, M. WONOEP appraisal: Molecular and cellular biomarkers for epilepsy. Epilepsia 2016;57(9):1354–62.Google Scholar
Angeleri, F, Majkowski, J, Cacchiò, G, et al. Posttraumatic epilepsy risk factors: One‐year prospective study after head injury. Epilepsia 1999;40:1222–30.Google Scholar
Kim, JA, Boyle, EJ, Wu, AC, et al. Epileptiform activity in traumatic brain injury predicts post-traumatic epilepsy. Ann Neurol 2018;83(4):858–62.Google Scholar
Nordli, DR. Varying seizure semiology according to age. Handb Clin Neurol 2013;111:455–60.CrossRefGoogle ScholarPubMed
Liesemer, K, Bratton, SL, Zebrack, CM, Brockmeyer, D, Statler, KD. Early post-traumatic seizures in moderate to severe pediatric traumatic brain injury: rates, risk factors, and clinical features. J Neurotrauma 2011;28(5):755–62.Google Scholar
Matsumoto, JH, Caplan, R, McArthur, DL, Forgey, MJ, Yudovin, S, Giza, CC. Prevalence of epileptic and nonepileptic events after pediatric traumatic brain injury. Epilepsy Behav 2013;27(1):233–7.Google Scholar
Keret, A, Shweiki, M, Bennett-Back, O, et al. The clinical characteristics of posttraumatic epilepsy following moderate-to-severe traumatic brain injury in children. Seizure 2018;58:2934.Google Scholar
Kochanek, PM, Carney, N, Adelson, PD, et al. Guidelines for the acute medical management of severe traumatic brain injury in infants, children, and adolescents–second edition. Pediatr Crit Care Med 2012;13 Suppl 1: S182.Google Scholar
Kochanek, PM, Tasker, RC, Carney, N, et al. Guidelines for the management of pediatric severe traumatic brain injury, third edition: Update of the Brain Trauma Foundation Guidelines, Executive Summary. Neurosurgery 2019;84(6):1169–78.Google Scholar
Ding, K, Gupta, PK, Diaz-Arrastia, R. Epilepsy after traumatic brain injury. In: Laskowitz, D, Grant, G, eds. Translational Research in Traumatic Brain Injury. Boca Raton (FL), CRC Press; 2016.Google ScholarPubMed
O’Neill, BR, Handler, MH, Tong, S, Chapman, KE. Incidence of seizures on continuous EEG monitoring following traumatic brain injury in children. J Neurosurg Pediatr 2015;16(2):167–76.Google Scholar
Abend, NS, Topjian, AA, Gutierrez-Colina, AM, Donnelly, M, Clancy, RR, Dlugos, DJ. Impact of continuous EEG monitoring on clinical management in critically ill children. Neurocrit Care Internet. 2011;15(1):70–5. www.ncbi.nlm.nih.gov/pubmed/20499208CrossRefGoogle ScholarPubMed
Herman, ST, Abend, NS, Bleck, TP, et al. Consensus statement on continuous EEG in critically ill adults and children, part I: indications. J Clin Neurophysiol 2015;32(2):8795. www.ncbi.nlm.nih.gov/pubmed/25626778Google Scholar
Lewis, RJ, Yee, L, Inkelis, SH, Gilmore, D. Clinical predictors of post-traumatic seizures in children with head trauma. Ann Emerg Med 1993;22(7):1114–8.Google Scholar
Temkin, NR, Dikmen, SS, Wilensky, AJ, Keihm, J, Chabal, S, Winn, HR. A randomized, double-blind study of phenytoin for the prevention of post-traumatic seizures. N Engl J Med 1990;323(8):497502.CrossRefGoogle ScholarPubMed
Inglet, S, Baldwin, M, Quinones, AH, Majercik, S, Collingridge, DS, MacDonald, J. Seizure prophylaxis in patients with traumatic brain injury: A single-center study. Cureus 2016; 8(8):e753–e753.Google Scholar
Bhullar, IS, Johnson, D, Paul, JP, Kerwin, AJ, Tepas, JJ 3rd, Frykberg ER. More harm than good: antiseizure prophylaxis after traumatic brain injury does not decrease seizure rates but may inhibit functional recovery. J Trauma Acute Care Surg 2014;76(1):51–4.Google Scholar
Pearl, PL, McCarter, R, McGavin, CL, et al. Results of phase II levetiracetam trial following acute head injury in children at risk for posttraumatic epilepsy. Epilepsia 2013;54(9):e135–7.CrossRefGoogle ScholarPubMed
Chung, MG, O’Brien, NF. Prevalence of early posttraumatic seizures in children with moderate to severe traumatic brain injury despite levetiracetam prophylaxis. Pediatr Crit Care Med 2016;17(2):150–6.CrossRefGoogle ScholarPubMed
Thapa, A, Chandra, SP, Sinha, S, Sreenivas, V, Sharma, BS, Tripathi, M. Post-traumatic seizures-A prospective study from a tertiary level trauma center in a developing country. Seizure 2010;19(4):211–6.CrossRefGoogle ScholarPubMed
Temkin, NR, Dikmen, SS, Anderson, GD, et al. Valproate therapy for prevention of posttraumatic seizures: a randomized trial. J Neurosurg 1999;91(4):593600.CrossRefGoogle ScholarPubMed
Ma, C, Xue, Y, Li, M, Zhang, Y, Li, G. Sodium valproate for prevention of early posttraumatic seizures. Chinese J Traumatol (English edn) 2010;13(5):293–6.Google Scholar
Glotzner, FL, Haubitz, I, Miltner, F, Kapp, G, Pflughaupt, KW. Seizure prevention using carbamazepine following severe brain injuries. Neurochirurgia (Stuttg) 1983;26(3):6679[in German].Google Scholar
Tilford, JM, Simpson, PM, Yeh, TS, et al. Variation in therapy and outcome for pediatric head trauma patients. Crit Care Med 2001;29(5):1056–61.Google Scholar
Asikainen, I, Kaste, M, Sarna, S. Early and late posttraumatic seizures in traumatic brain injury rehabilitation patients: brain injury factors causing late seizures and influence of seizures on long-term outcome. Epilepsia 1999;40(5):584–9.Google Scholar
Zhao, Y, Wu, H, Wang, X, Li, J, Zhang, S. Clinical epidemiology of posttraumatic epilepsy in a group of Chinese patients. Seizure 2012;21(5):322–6.Google Scholar
Wang, H, Xin, T, Sun, X, et al. Post-traumatic seizures – a prospective, multicenter, large case study after head injury in China. Epilepsy Res 2013;107(3):272–8CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×