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Early seizures after moderate closed head injury

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Summary

The incidence and clinical significance was studied in 2574 closed head injury patients, each of them having a Glasgow Coma Scale (GCS) 9 to 12 after trauma. All patients underwent computerized tomography (CT) after being admitted to the emergency service. One hundred and six patients (4.1%) experienced seizures within 1 week after head injury; 46 of these (1.8% of the series) had seizures within 24 hours after trauma. There was no statistically significant difference between the early seizure and seizure free group of patients in gender, age and GCS with the exception of cause of injury (p < 0.01). The incidence of intracerebral parenchymal damage was found to be higher with seizures developing between day 2 and day 7 (80%) than those with seizures developing within 24 hours (54.3%). Analysing the data revealed that early posttraumatic seizures were not related to the presence of intracerebral parenchymal damage on CT scan. The occurrence of early seizures did not affect the mortality and outcome of moderate closed head injury patients.

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References

  1. Annegers JF, Grabow JD, Groover RV, Laws ER Jr, Elveback LR, Kurland LT (1980) Seizures after head trauma: a population study. Neurology 30: 683–689

    PubMed  Google Scholar 

  2. Bailey BN, Gudeman SK. Minor head injury. In: Becker DP, Gudeman SK (eds) Textbook of head injury. Saunders, Philadelphia, pp 308–325

  3. Desai BT, Whitman S, Coonley-Hoganson R, Coleman TE, Gabriel G, Dell J (1983) Seizures and civilian head injuries. Epilepsia 24: 289–296

    PubMed  Google Scholar 

  4. Eisenberg HM (1989) Mild to moderate brain injury clinical diagnosis. In: Hoff J, Anderson T, Cole T (eds) Mild to moderate head injury. Blackwell, Boston, pp 95–105

    Google Scholar 

  5. Hahn YS, Fuchs S, Flannery AM, Barthel MJ, McLone DG (1988) Factors influencing posttraumatic seizures in children. Neurosurgery 22: 864–867

    PubMed  Google Scholar 

  6. Jenkins A, Teasdale G, Hadley MDM, Macpherson P, Rowan JO (1986) Brain lesions dectected by magnetic resonance imaging in mild and severe head injuries. Lancet 2: 445–446

    Article  PubMed  Google Scholar 

  7. Jennett B, Teasdale G (1981) Assessment of outcome. In: Jennett B, Teasdale G (eds) Management of head injuries. Davis, Philadelphia, pp 301–316

    Google Scholar 

  8. Jennett B (1974) Early traumatic epilepsy. Incidence and significance after nonmissile injuries. Arch Neurol 30: 394–398

    PubMed  Google Scholar 

  9. Jennett B (1975) Epilepsy and acute traumatic intracranial haematoma. J Neurol Neurosurg Psychiatry 38: 378–381

    PubMed  Google Scholar 

  10. Lee ST, Lui TN (1992) Early seizures after mild closed head injury. J Neurosurg 76: 435–439

    PubMed  Google Scholar 

  11. McMillan TM, Glucksman EE (1987) The neuropsychology of moderate head injury. J Neurol Neurosurg Psychiatry 50: 393–397

    PubMed  Google Scholar 

  12. Miller JD (1986) Minor, moderate and severe head injury. Neurosurg Rev 9: 135–139

    Article  PubMed  Google Scholar 

  13. Miller JD, Jones PA (1989) Management aspects of mild and moderate head injury. In: Hoff J, Anderson T, Cole T (eds) Mild to moderate head injury. Blackwell, Boston, pp 117–124

    Google Scholar 

  14. Pitts LH (1989) Clinical diagnosis of mild to moderate head injury. In: Hoff J, Anderson T, Cole T (eds) Mild to moderate head injury. Blackwell, Boston, pp 107–113

    Google Scholar 

  15. Rimel RW, Giordani B, Barth JT, Jane JA (1982) Moderate head injury: completing the clinical spectrum of brain trauma. Neurosurgery 11: 344–351

    PubMed  Google Scholar 

  16. Rose J, Valtonen S, Jennett B (1977) Avoidable factors contributing to death after head injury. B M J 2: 615–618

    Google Scholar 

  17. Stein SC, Ross SE (1992) Moderate head injury: a guide to initial management. J Neurosurg 77: 562–564

    PubMed  Google Scholar 

  18. Tabaddor K, Mattis S, Zazula T (1984) Cognitive sequels and recovery course after moderate and severe head injury. Neurosurg 14: 701–708

    Google Scholar 

  19. Teasdale G, Jennett B (1974) Assessment of coma and impaired consciousness. A practical scale. Lancet 2: 81–84

    Article  PubMed  Google Scholar 

  20. Weiss GH, Feeney DM, Caveness WF, Daniel Dillon LTC, Kistla JP, Mohr JP, Rish BL (1983) Prognostic factors for the occurrence of posttraumatic epilepsy. Arch Neurol 40: 7–10

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Neurosurgery, Chang Gung Memorial Hospital and Chang Gung Medical and Engineering College, Taoyuan, Taiwan, Republic of China

    S. -T. Lee, T. -N. Lui, C. -W. Wong, Y. -S. Yeh & W. -C. Tzaan

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  1. S. -T. Lee
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  2. T. -N. Lui
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  3. C. -W. Wong
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  4. Y. -S. Yeh
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  5. W. -C. Tzaan
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Lee, S.T., Lui, T.N., Wong, C.W. et al. Early seizures after moderate closed head injury. Acta neurochir 137, 151–154 (1995). https://doi.org/10.1007/BF02187187

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