ArticlePediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies2013
Nonconvulsive electrographic seizures are common in children with abusive head trauma*.
Article in Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 62 citations in OpenAlex.
- Early Electroencephalogram to Predict Severity of Injury in Infants With Abusive Traumatic Brain Injury.Journal of child neurology · 2026Article
- Effectiveness of Fosphenytoin and Levetiracetam to Prevent Posttraumatic Seizures in Young Children with Accidental or Abusive Traumatic Brain Injury.Neurocritical care · 2025Article
- A Systematic Review of Pediatric Abusive Head Trauma: What a Surgeon Needs to Know Before Using a Knife.Cureus · 2025Review
- The Role of Electroencephalography in the Prognostication of Clinical Outcomes in Critically Ill Children: A Review.Children (Basel, Switzerland) · 2022Review
- Complex Pathophysiology of Abusive Head Trauma with Poor Neurological Outcome in Infants.Journal of Korean Neurosurgical Society · 2022Article
- Machine learning models to predict electroencephalographic seizures in critically ill children.Seizure · 2021Observational
- EEG monitoring duration to identify electroencephalographic seizures in critically ill children.Neurology · 2020Observational
- Pediatric abusive head trauma.Biomedical journal · 2020Review
- Advances and Future Directions of Diagnosis and Management of Pediatric Abusive Head Trauma: A Review of the Literature.Frontiers in neurology · 2020Review
- Therapeutic strategies to target acute and long-term sequelae of pediatric traumatic brain injury.Neuropharmacology · 2019Review
- Neurologic Outcomes Following Care in the Pediatric Intensive Care Unit.Current treatment options in pediatrics · 2017Article
- Seizures in Children With Severe Traumatic Brain Injury.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2017Observational
- Management of the Pediatric Neurocritical Care Patient.Seminars in neurology · 2016Review
- Continuous electroencephalography in pediatric traumatic brain injury: Seizure characteristics and outcomes.Epilepsy & behavior : E&B · 2016Article
- Variation in Anticonvulsant Selection and Electroencephalographic Monitoring Following Severe Traumatic Brain Injury in Children-Understanding Resource Availability in Sites Participating in a Comparative Effectiveness Study.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2016Article
- Could EEG Monitoring in Critically Ill Children Be a Cost-effective Neuroprotective Strategy?Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society · 2015Review
- Continuous electroencephalogram detection of non-convulsive seizures in the pediatric intensive care unit: review of the utility and impact on management and outcomes.Translational pediatrics · 2015Review
- How much does it cost to identify a critically ill child experiencing electrographic seizures?Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society · 2015Article
- Consensus statement on continuous EEG in critically ill adults and children, part I: indications.Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society · 2015Article
- An ounce of prevention but less than a pound of cure: seizure prophylaxis after intracranial hemorrhage.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2014Article
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo determine the prevalence of nonconvulsive seizures in children with abusive head trauma.
designRetrospective study of children with abusive head trauma undergoing clinically indicated continuous electroencephalographic monitoring.
settingPICU of a tertiary care hospital. SUBJECTS: Children less than or equal to 2 years old with evidence of abusive head trauma determined by neuroimaging, physical examination, and determination of abuse by the Child Protection Team.
interventionsNone. MEASUREMENTS AND MAIN
resultsThirty-two children with abusive head trauma were identified with a median age of 4 months (interquartile range 3, 5.5 months). Twenty-one of 32 children (66%) underwent electroencephalographic monitoring. Those monitored were more likely to have a lower admission Glasgow Coma Scale (8 vs 15, p = 0.05) and be intubated (16 vs 2, p = 0.002). Electrographic seizures occurred in 12 of 21 children (57%) and constituted electrographic status epilepticus in 8 of 12 children (67%). Electrographic seizures were entirely nonconvulsive in 8 of 12 children (67%). Electroencephalographic background category (discontinuous and slow-disorganized) (p = 0.02) and neuroimaging evidence of ischemia were associated with the presence of electrographic seizures (p = 0.05). Subjects who had electrographic seizures were no more likely to have clinical seizures at admission (67% electrographic seizures vs 33% none, p = 0.6), parenchymal imaging abnormalities (61% electrographic seizures vs 39% none, p = 0.40), or extra-axial imaging abnormalities (56% electrographic seizures vs 44% none, p = 0.72). Four of 21 (19%) children died prior to discharge; none had electrographic seizures, but all had attenuated-featureless electroencephalographic backgrounds. Follow-up outcome data were available for 16 of 17 survivors at a median duration of 9.5 months following PICU admission, and the presence of electrographic seizures or electrographic status epilepticus was not associated with the Glasgow Outcome Scale score (p = 0.10).
conclusionsElectrographic seizures and electrographic status epilepticus are common in children with abusive head trauma. Most seizures have no clinical correlate. Further study is needed to determine whether seizure identification and management improves outcome.
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