Child's Nervous System

, Volume 24, Issue 2, pp 169–172

Epilepsy associated with shaken baby syndrome

  • Marie Bourgeois
  • Federico Di Rocco
  • Matthew Garnett
  • Brigitte Charron
  • Nathalie Boddaert
  • Christine Soufflet
  • Thomas Roujeau
  • Michel Zerah
  • Christian Sainte-Rose
  • Perrine Plouin
  • Dominique Renier
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

Authors and Affiliations

  • Marie Bourgeois
    • 1
  • Federico Di Rocco
    • 1
  • Matthew Garnett
    • 1
  • Brigitte Charron
    • 2
  • Nathalie Boddaert
    • 3
  • Christine Soufflet
    • 4
  • Thomas Roujeau
    • 1
  • Michel Zerah
    • 1
  • Christian Sainte-Rose
    • 1
  • Perrine Plouin
    • 4
  • Dominique Renier
    • 1
  1. 1.Department of Pediatric NeurosurgeryHôpital Necker Enfants MaladesParisFrance
  2. 2.Department of NeuroanesthesiologyHôpital Necker-Enfants Malades, Paris, Université René DescartesParis VFrance
  3. 3.Department of NeuroradiologyHôpital Necker-Enfants Malades, Paris, Université René DescartesParis VFrance
  4. 4.Clinical Neurophysiology UnitHôpital Necker-Enfants Malades, Paris, Université René DescartesParis VFrance