Screening of epileptic seizures in children and adolescents with hydrocephalus and ventriculoperitoneal shunt

Raimundo Francisco de Amorim Júnior, Suerda Emiliana Cavalcanti Dantas, Rodrigo de Holanda Mendonça, Abdiel de Lira Rolim, Maria Luiza de Carvalho Jales, Mônica Ferreira Lopes, Mércia Jeanne Duarte Bezerra, Áurea Nogueira de Melo
2009 Journal of Epilepsy and Clinical Neurophysiology  
OBJECTIVES: To assess the occurrence of epileptic seizures (ES) in children and adolescents with hydrocephalus and their relationship with ventriculoperitoneal shunt (VPS) treatment. METHODS: Retrospective study of 45 patients from both genders, aged 0 to 18 years, with hydrocephalus and presenting with ES or not. The following variables were analyzed: gender, hydrocephalus etiology, age at diagnosis, age at initial VPS treatment, age at first ES and types of ES. RESULTS: Data analysis showed
more » ... a analysis showed the following: 20 (44.4%) presented with ES, 13 (65%) of the girls and seven (35%) of the boys. There was a predominance of ES in the girls, but with no statistically significant difference. In total, 13 (65%) patients used VPS. Of the 13 patients with VPS and ES, it was observed that the onset of ES was after VPS in 10 (76.9%) individuals, whereas it occurred before VPS in two (15.4%). CONCLUSIONS: The results showed no association between VPS treatment and ES (ρ=0.832); however, most of the patients presented with their first ES episode after VPS, suggesting a possible relationship between this treatment and the occurrence of ES. A larger sample and a prospective study might answer this question.
doi:10.1590/s1676-26492009000300002 fatcat:vqnyvtlegnc7lklkwkxsjzeyku