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Journal of Child Neurology
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Seizures In Children Following an Apparent Life-threatening Event

Joshua L. Bonkowsky, MD, PhD

Division of Pediatric Neurology, University of Utah School of Medicine, Salt Lake City, Utah, joshua.bonkowsky{at}hsc.utah.edu

Elisabeth Guenther, MD, MPH

Division of Pediatric Emergency Medicine, University of Utah School of Medicine, Salt Lake City, Utah

Rajendu Srivastava, MD, FRCP, MPH

Division of Inpatient Medicine Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah

Francis M. Filloux, MD

Division of Pediatric Neurology, University of Utah School of Medicine, Salt Lake City, Utah

The characteristics of seizures and epilepsy in infants who have had an apparent life-threatening event have been poorly defined. Our objective was to characterize in depth the cohort of patients with apparent life-threatening events who developed seizures. We collected data from infants hospitalized for an apparent life-threatening event, and evaluated patients for subsequent seizures or chronic epilepsy. Of 471 patients with an apparent life-threatening event, 25 (5.3%) had seizures and 17 (3.6%) developed chronic epilepsy. There was no increased risk for febrile seizures. Abnormal brain magnetic resonance imaging results and developmental delay were only found in those patients who developed chronic epilepsy. Of those who developed chronic epilepsy, 47% were diagnosed with seizures within 1 week of their apparent life-threatening event. The discharge diagnosis at the time of the apparent life-threatening event was poorly predictive of those who developed seizures. In most cases the cause of chronic epilepsy was unknown, although cortical dysplasias made up a significant percentage (12%).

Key Words: seizures • epilepsy • life-threatening event

This version was published on June 1, 2009

Journal of Child Neurology, Vol. 24, No. 6, 709-713 (2009)
DOI: 10.1177/0883073808329532
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