Child's Nervous System

, Volume 24, Issue 2, pp 169–172

Epilepsy associated with shaken baby syndrome

Authors

    • Department of Pediatric NeurosurgeryHôpital Necker Enfants Malades
  • Federico Di Rocco
    • Department of Pediatric NeurosurgeryHôpital Necker Enfants Malades
  • Matthew Garnett
    • Department of Pediatric NeurosurgeryHôpital Necker Enfants Malades
  • Brigitte Charron
    • Department of NeuroanesthesiologyHôpital Necker-Enfants Malades, Paris, Université René Descartes
  • Nathalie Boddaert
    • Department of NeuroradiologyHôpital Necker-Enfants Malades, Paris, Université René Descartes
  • Christine Soufflet
    • Clinical Neurophysiology UnitHôpital Necker-Enfants Malades, Paris, Université René Descartes
  • Thomas Roujeau
    • Department of Pediatric NeurosurgeryHôpital Necker Enfants Malades
  • Michel Zerah
    • Department of Pediatric NeurosurgeryHôpital Necker Enfants Malades
  • Christian Sainte-Rose
    • Department of Pediatric NeurosurgeryHôpital Necker Enfants Malades
  • Perrine Plouin
    • Clinical Neurophysiology UnitHôpital Necker-Enfants Malades, Paris, Université René Descartes
  • Dominique Renier
    • Department of Pediatric NeurosurgeryHôpital Necker Enfants Malades
Brief Communication

DOI: 10.1007/s00381-007-0493-4

Cite this article as:
Bourgeois, M., Di Rocco, F., Garnett, M. et al. Childs Nerv Syst (2008) 24: 169. doi:10.1007/s00381-007-0493-4

Abstract

Object

The shaken baby syndrome (SBS) is an important cause of developmental delay in infants. Epileptic seizures are a common feature of this syndrome. The aim if this study is to analyse the impact of the early and late seizures disorder.

Materials and methods

We have retrospectively reviewed the clinical and electrophysiological findings in a series of 404 children hospitalised with SBS.

Results

In the acute phase, clinical epileptic seizures of various semiologies were found in 73% of the infants. Only 11% of the children had a normal EEG on admission. A poor outcome was found in 88% of the children in case of persisting EEG anomalies despite anti-epileptic treatment with 48% mortality in these patients. The development of refractory epilepsy was also associated with a poor outcome in this series. In fact 96% of the children with seizure recurrence had behavioural problems.

Conclusions

The early recognition and subsequent management of these seizures is vital to prevent further neurological injury. Delayed or recurrent epileptic seizures may occur with a different semiology to the seizures in the acute phase and are also associated with a poor prognosis.

Keywords

Non-accidental traumaBattered childPrognosisOutcomeSub-dural haematomaSeizuresNon accidental injury

Copyright information

© Springer-Verlag 2007