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Academia Mexicana de Neurología, A.C.

2018, Number 4

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Rev Mex Neuroci 2018; 19 (4)

Clinical and electroencephalographic study in infants with risk factors for neurological damage

Rodríguez-Valdés RF, Aguilar-Fabré LL, Rivera-Alés L, Galán-García L, Aguilar-Fabré K, Barrera-Sánchez J, Bosch-Bayard JF

Language: Spanish
References: 38
Page: 25-35
PDF size: 370.24 Kb.


ABSTRACT

Introduction: It’s estimated that between 3-5% of living newborns have neurology risk. The damage that occurs in perinatal period cause 55-75% of neurology deficit. Timely detection, follow-up and intervention permits prevent and/or minimize those aftermaths. Objectives: To characterizer clinic and electroencephalographic of a group of children with neurology damage risk factors.
Methods: An early clinic-neurophysiologic evaluation of 87 infants in ages from one month to one year (M 67.53, SD 48.67 days, respectively) was carried out because they showed some neurology damage risk factor. They were undergoing to digital electroencephalography studies. The statistical analysis of data was performed with the Mann-Whitney U test, IC 95% in hypothesis test (p ‹ 0.05).
Results: Birth risk factors had the highest frequency predominantly perinatal asphyxia and respiratory distress. The concurrence of 3 or more risk factors was discovered in 66.66% (58/87) of them. A percentage of 59.09 of EEG performed showed moderate disorders. There was a significant statistical association between clinical course of children and presence of seizures, as well as between gestational age, seizures and 3 or more risk factors.
Conclusions: The early clinical-electroencephalographic evaluation could be used to guide, modify or suggest therapeutic strategies and follow-up in infants with neurology damage risk factors.


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