The Role of Electroencephalography in Children with Acute Altered Mental Status of Unknown Etiology: A Prospective Study.
| Autor: | Chiarello D; Dipartimento di Scienze Mediche e Chirurgiche (DIMEC), Policlinico di Sant'Orsola, Università di Bologna, Bologna, Italy.; Department of Neuroscience, Neurology of Epilepsy and Movement Disorder Unit, Bambino Gesù Children's Hospital - Member of the European Reference Network EpiCARE, Roma, Italy., Perrone A; Dipartimento di Scienze Mediche e Chirurgiche (DIMEC), Policlinico di Sant'Orsola, Università di Bologna, Bologna, Italy.; IRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Neuropsichiatria dell'Età Pediatrica, Bologna, Italy., Ricci E; Dipartimento di Scienze Mediche e Chirurgiche (DIMEC), Policlinico di Sant'Orsola, Università di Bologna, Bologna, Italy.; Department of Health Sciences, Child Neuropsychiatry Unit, Epilepsy Center, San Paolo Hospital, University of Milan, Milan, Italy., Ferrera G; Department of Health Sciences, Child Neuropsychiatry Unit, Epilepsy Center, San Paolo Hospital, University of Milan, Milan, Italy., Duranti F; Dipartimento di Scienze Mediche e Chirurgiche (DIMEC), Policlinico di Sant'Orsola, Università di Bologna, Bologna, Italy.; Child and Adolescent Neuropsychiatry Unit, AUSL Romagna - Infermi Hospital, Rimini, Italy., Bonetti S; IRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Neuropsichiatria dell'Età Pediatrica, Bologna, Italy., Marchiani V; IRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Neuropsichiatria dell'Età Pediatrica, Bologna, Italy., Fetta A; Dipartimento di Scienze Mediche e Chirurgiche (DIMEC), Policlinico di Sant'Orsola, Università di Bologna, Bologna, Italy.; IRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Neuropsichiatria dell'Età Pediatrica, Bologna, Italy., Lanari M; Pediatric Emergency Unit, Scientific Institute for Research and Healthcare (IRCCS), Sant'Orsola University Hospital, Bologna, Italy., Cordelli DM; Dipartimento di Scienze Mediche e Chirurgiche (DIMEC), Policlinico di Sant'Orsola, Università di Bologna, Bologna, Italy.; IRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Neuropsichiatria dell'Età Pediatrica, Bologna, Italy. |
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| Jazyk: | angličtina |
| Zdroj: | Neuropediatrics [Neuropediatrics] 2024 Sep 04. Date of Electronic Publication: 2024 Sep 04. |
| DOI: | 10.1055/a-2380-6743 |
| Abstrakt: | Introduction: Acute altered mental status (AAMS) is often a challenge for clinicians, since the underlying etiologies cannot always easily be inferred based on the patient's clinical presentation, medical history, or early examinations. The aim of this study is to evaluate the role of electroencephalogram (EEG) as a diagnostic tool in AAMS of unknown etiology in children. Materials and Methods: We conducted a prospective study involving EEG assessments on children presenting with AAMS between May 2017 and October 2019. Inclusion criteria were age 1 month to 18 years and acute (<1 week) and persistent (>5 minutes) altered mental status. Patients with a known etiology of AAMS were excluded. A literature review was also performed. Results: Twenty patients (median age: 7.7 years, range: 0.5-15.4) were enrolled. EEG contributed to the diagnosis in 14/20 cases, and was classified as diagnostic in 9/20 and informative in 5/20. Specifically, EEG was able to identify nonconvulsive status epilepticus (NCSE) in five children and psychogenic events in four. EEG proved to be a poorly informative diagnostic tool at AAMS onset in six children; however, in five of them, it proved useful during follow-up. Conclusions: Limited data exist regarding the role of EEG in children with AAMS of unknown etiology. In our population, EEG proved to be valuable tool, and was especially useful in the prompt identification of NCSE and psychogenic events. Competing Interests: None declared. (Thieme. All rights reserved.) |
| Databáze: | MEDLINE |
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