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  • Rast glave pri otrocih z infantilnimi spazmi
    Krivec, Uroš, 1975- ; Lozar Krivec, Jana
    BACKGROUND Infantile spasms (lS) begin in a very active phase of brain development. Since changes in head circumference (HC) accurately reflect changes in brain growth during infancy, we assumed the ... possibility that epileptic activity which interferes with brain development would also lead to head growth failure in children affected by IS. The aim of the study was to determine the relationship between outcome and HC at different age or different time after onset of IS. PATIENTS AND METHODS The sfudy involved 38 children (17 boys and 21 girls) with history of IS and no other obvious cause for an abnormal head growth (i.e. hydrocephalus, chromosomal or genetic abnormality). The data for HC were gathered from patientsć medical documentation. HCs below the 10th percentile of Slovene population were considered abnormal. In terms of cognitive and neuro-developmental outcome thechildren were grouped into four categories (1-normal to 4-sever impairment). t-test and multiple linear regression were used to test the relationship between HC and outcome. RESULTS Abnormal HC in the 4th and the 5th month after onset of spasms was significantly associated with abnormal mental development ( 2.8 vs.1.7, p= 0.004). This relation persisted even when several factors like etiology, duration of spasms, gestational age and delayeddevelopment before onset of spasms were controlled. In the 4th month after onset of spasms normal mental development was present in only 12% (1Č8) of children with abnormal head size. The mean HC of the children with IS was not significantly lower than the mean HC in normal population, eventhough the proportion of the children with abnormal head size (27%) was larger. CONCLUSIONS It was found that HC represents an important predictive factor forcognitive outcome in children with history of IS. Since HC can be measured quickly and easily its considerable predictive role in follow up should not beignored in any children and specially not in those with IS.
    Type of material - research report
    Publication and manufacture - Ljubljana : [U. Krivec] : [J. Lozar], 2000
    Language - slovenian
    COBISS.SI-ID - 2268436

Library/institution City Acronym For loan Other holdings
MF, Central Medical Library, Ljubljana Ljubljana CMK outside loan 1 cop.
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