Neurologic Lesions in Relation to the Sequelae of Birth Injury

Keith, Haddow M.; Norval, Mildred A.; Hunt, Arthur B.

doi:10.1212/wnl.3.2.139

Cited by 32 publications

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“…In contrast to these findings Keith et al (1953) found no evidence that long labour, asphyxia or delayed respiration was the direct cause of abnormality in the surviving child.…”

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confidence: 68%

A Medical and Social Survey of 231 Children with Seizures

Gregoriades¹

1972

Epilepsia

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SUMMARY Two hundred and thirty‐one children with seizures, aged 0–17 years (131 males, 100 females), were followed for a few months up to 4 years. Most of them belonged to working class families living in poor housing. In 150 cases the seizures started in the first 5 years of life, whereas only 37 were below that age when first referred to us. This contrast is discussed and some useful conclusions are drawn with regard to the parents' attitude to the child's illness. A high incidence of seizures in near relatives (38 cases), febrile convulsions (77 cases), and abnormalities during pregnancy or delivery (53 cases) was found and is discussed. The types of seizure, their frequency, medical treatment and EEG findings are described briefly. The general therapeutic approach and management are discussed in some detail, in view of the fact that in 52 cases the parents considered their child's behavioural disturbances to be the major problem. An intense, insistent and tactful case work was done by our social workers with the aim to change parental attitudes, environmental factors, when they played an important role, and to secure final rehabilitation of the patient. RÉSUMÉ On a suivi pendant une période allant de quelques mois jusqu'à 4 ans, 231 enfants âgés de 0 à 17 ans (131 garçons, 100 filles) présentant des crises. La majorité des enfants appartenait à des familles ouvrières vivant dans de pauvres habitations. Chez 150 d'entre eux, les crises ont commencé au cours des 5 premières années de vie, mais 37 seulement nous ont été envoyés pendant cette période. On discute la raison de cette disproportion et l'on tire les mêmes conclusions utiles sur l'attitude des parents vis‐à‐vis de la maladie de leurs enfants. Une fréquence élevée des crises dans la famille (38 cas), des convulsions fébriles (77 cas) et d'une pathologie de la grossesse et de l'accouchement (53 cas) a été retrouvée et discutée. On a brièvement décrit les types de crises, leur fréquence, le traitement médical et les données électroencéphalographiques. On a discuté en détail de l'attitude thérapeutique générale et du traitement approprié en tenant compte que les parents de 52 enfants considéraient que les troubles du comportement étaient le probléme le plus important. Notre équipe d'assistantes sociales a fait avec tact, un travail intense et continu pour modifier l'attitude des parents, les facteurs du milieu lorsqu'ils jouaient un rôle important, et pour assurer la réhabilitation définitive du patient.

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“…In contrast to these findings Keith et al (1953) found no evidence that long labour, asphyxia or delayed respiration was the direct cause of abnormality in the surviving child.…”

contrasting

confidence: 68%

A Medical and Social Survey of 231 Children with Seizures

Gregoriades¹

1972

Epilepsia

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“…Observations made in the present study do not agree with the conclusion of Keith, Norval and Hunt (1953) that 'difficulties during delivery have very little to do with persistent neurological abnor-malities' in surviving infants, and do not support the view advanced by Hellstrom and Jonsson (1953) that asphyxial attacks appearing 'later on and after the child has breathed normally' have a less favourable prognosis. The findings in the follow-up series (Table 9) do suggest, however, that the general risk of morbid sequelae is as great in the case of premature babies with slight transient convulsions as in babies born at term having prolonged major convulsions.…”

Section: Discussioncontrasting

confidence: 99%

Convulsive Movements occurring in the First Ten Days of Life

Craig¹

1960

Archives of Disease in Childhood

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“…a) The frequency and future of the neonate with severe brain damage: K eith , N orval and H unt [4] selected 57 new-borns during a three-year-period (1944)(1945)(1946)(1947) at the Mayo Clinic. O f these, only five were considered to have had obstetrical trauma, two became normal children, three died in the neonatal period (one with sub-dural haematoma, one with hydrocephalus, one following attacks of apnoea).…”

Section: Obstetrical Techniques Are In Progressmentioning

confidence: 99%

Cerebral Damage in Full-Term New-Born Aetiological Factors, Neonatal Status and Long-Term Follow-Up

Amiel‐Tison¹

1969

Neonatology

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Neurologic Lesions in Relation to the Sequelae of Birth Injury

Cited by 32 publications

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A Medical and Social Survey of 231 Children with Seizures

A Medical and Social Survey of 231 Children with Seizures

Convulsive Movements occurring in the First Ten Days of Life

Cerebral Damage in Full-Term New-Born Aetiological Factors, Neonatal Status and Long-Term Follow-Up

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