{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,29]],"date-time":"2022-03-29T14:31:59Z","timestamp":1648564319470},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg A Cent Eur Neurosurg"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:p>\n            Purpose\u2003Isolated acute subdural hematoma (aSDH) in pediatric patients is rare, but it has a major impact on outcome. The purpose of this study was to determine incidence, seizure risk factors, and the outcome of pediatric patients with aSDH.<\/jats:p><jats:p>\n            Methods\u2003Within a 10-year period (2007\u20132016), 10 children with aSDH were identified. Baseline characteristics and these parameters were analyzed: pediatric Glasgow Coma Scale (pGCS) score at admission and 24 hours after the operation, hematoma volume\/side, and midline shift. Functional outcome was assessed at 3-month follow-up using the King's Outcome Scale for Childhood Head Injury score.<\/jats:p><jats:p>\n            Results\u2003Three subgroups were identified depending on age and etiology: birth-associated, nontraumatic, and traumatic aSDH. The overall incidence of seizures was 60%, and an even higher rate (75%) was observed in children\u2009&lt;\u20091\u2009month of age. Of those patients, two (67%) developed late seizures. Significant predictors for seizures were low pGCS score at admission (p\u2009=\u20090.03) and 24 hours after surgery (p\u2009=\u20090.03) as well as increased midline shift (p\u2009=\u20090.02). Patients with seizures tended to have an unfavorable outcome.<\/jats:p><jats:p>\n            Conclusion\u2003Pediatric patients with aSDH are at high risk for seizures, particularly if the pGCS score is low at admission\/24 hours after the operation and midline shows a shift. Determining seizure-prone pediatric patients may facilitate early antiepileptic treatment and promote better clinical outcomes.<\/jats:p>","DOI":"10.1055\/s-0039-1677824","type":"journal-article","created":{"date-parts":[[2019,3,20]],"date-time":"2019-03-20T22:52:23Z","timestamp":1553122343000},"page":"233-239","source":"Crossref","is-referenced-by-count":1,"title":["Clinical Relevance of Seizure in Pediatric Patients with Isolated Acute Subdural Hematoma without Parenchymal Brain Injury"],"prefix":"10.1055","volume":"80","author":[{"given":"Sae-Yeon","family":"Won","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Goethe-University, Frankfurt am Main, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Dubinski","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Goethe-University, Frankfurt am Main, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bedjan","family":"Behmanesh","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Goethe-University, Frankfurt am Main, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"Strzelczyk","sequence":"additional","affiliation":[{"name":"Department of Neurology and Epilepsy Center Frankfurt Rhine-Main, Goethe-University, Frankfurt am Main, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Volker","family":"Seifert","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Goethe-University, Frankfurt am Main, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juergen","family":"Konczalla","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Goethe-University, Frankfurt am Main, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas M.","family":"Freiman","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Goethe-University, Frankfurt am Main, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2019,3,20]]},"container-title":["Journal of Neurological Surgery Part A: Central European Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0039-1677824.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,6,17]],"date-time":"2019-06-17T18:42:53Z","timestamp":1560796973000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0039-1677824"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3,20]]},"references-count":0,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2019,6,17]]},"published-print":{"date-parts":[[2019,7]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0039-1677824","relation":{},"ISSN":["2193-6315","2193-6323"],"issn-type":[{"value":"2193-6315","type":"print"},{"value":"2193-6323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,3,20]]}}}