Seizure-related injuries in children and adolescents with epilepsy

Lagunju, Ikeoluwa; Oyinlade, Alexander Opebiyi; Babatunde, Olubusayo D.

doi:10.1016/j.yebeh.2015.11.019

Cited by 33 publications

(39 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Considering all included studies, a total of 7277 patients were screened to evaluate the influence of epilepsy on the occurrence of oral and maxillofacial injuries. The full process of study selection is illustrated in Figure .…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Association between epilepsy and oral maxillofacial trauma: A systematic review and meta‐analysis

Falci

Duarte-Rodrigues

Primo-Miranda

et al. 2019

Special Care in Dentistry

View full text Add to dashboard Cite

A systematic literature search was conducted (through April 2017), using Web of Science, PubMed and Virtual Health Library, manual reference list, and grey literature searches. The quality of the studies was evaluated using the Newcastle‐Ottawa Quality Assessment Scale. The meta‐analysis was performed using R software. A total of 30 studies was included in this review. From a total of 25 studies included in the meta‐analysis, the prevalence of oral and maxillofacial injuries among epileptic subjects was 19%. Among the epileptic patients who suffered some type of injury due to epileptic seizures, 52% had facial soft tissue injuries (95%CI: 28‐75%), 18% suffered dental trauma (95%CI: 11‐29%), and 12% (95%CI: 4‐28%) suffered maxillofacial fractures. Epileptic patients were more likely to have oral and maxillofacial injuries than healthy individuals (OR: 5.22, 95%CI: 2.84‐9.36) and subjects with psychogenic nonepileptic seizures (OR: 2.77, 95%CI: 1.28‐5.99), but not than patients with special needs (OR: 2.45,95%CI: 0.95‐6.31).

show abstract

Section: Resultsmentioning

confidence: 99%

“…It is known that the quality of life of these individuals is inversely proportional to the frequency and severity of seizure episodes . Additionally to the impaired quality of life, epileptic patients with active seizures are more prone to vehicle accidents, drowning, fractures, and burns, besides oral and maxillofacial injuries …”

Section: Discussionmentioning

confidence: 99%

Association between epilepsy and oral maxillofacial trauma: A systematic review and meta‐analysis

Falci

Duarte-Rodrigues

Primo-Miranda

et al. 2019

Special Care in Dentistry

View full text Add to dashboard Cite

show abstract

“…22 Of all recent injuries, immersions were most frequently reported in our population and remained unchanged after imputation correction. 5,[23][24][25][26] As the risk of drowning in PWE is increased by 15-19 times, 27 maintaining public awareness and vigilance on the domestic risk of immersion injury and fatality is essential if we are to reduce this potentially preventable consequence. The majority of immersion events occurred in the domestic setting, while showering or bathing at home, and reinforces domestic prevention as a key approach.…”

Section: Summary Of Findingsmentioning

confidence: 99%

Risk factors for injury in a community‐treated cohort of patients with epilepsy in Australia

et al. 2019

View full text Add to dashboard Cite

Summary Objective There remains a paucity of knowledge regarding specific epilepsy‐related risk factors for accidents and injuries in people with epilepsy. Injury studies in people with epilepsy are overrepresented, with tertiary based populations that are prone to bias from severe disease. This study aims to assess the contribution of epilepsy‐related risk factors to injuries in a community‐based cohort. Methods We performed a retrospective nested case‐control study on patients recruited into the Tasmanian Epilepsy Register (TER) from July 1, 2001 to June 30, 2002. The TER is a community‐based cohort of patients with epilepsy in Tasmania, Australia, recruited from the national prescription database and interviewed for epilepsy diagnosis, injuries, and risk factors using validated questionnaires with diagnosis made by an epilepsy specialist. The primary outcome measures were lifetime and recent 12‐month injury. Multivariate logistic regression with multiple imputation modeling responder nondisclosure was performed, adjusting for age, gender, region, socioeconomic status, seizure frequency, and epilepsy duration. Results A total of 819 patients with epilepsy were included in this study. Ten percent of patients experienced an injury in the preceding year. Before adjusting for seizure frequency, any seizure over the past 12 months was associated with recent injury (adjusted odds ratio [OR] = 7.90, 95% confidence interval [CI] = 4.17‐14.96). Impaired awareness, cluster seizures, sleep‐only seizures, and convulsive seizure were characteristics found to significantly influence injuries irrespective of seizure frequency. Although a warning appeared initially protective for recent injuries (OR = 0.39, 95% CI = 0.22‐0.69), this was entirely explained by seizure frequency, with the effect becoming nonsignificant. Significance Likely due to their unpredictable nature, seizures expose patients with epilepsy to a high risk of life‐threatening injury. These findings emphasize the importance of seizure freedom for maximizing the safety of patients with epilepsy.

show abstract

“…When compared to healthy controls, the relative risk for having injury was found to be 3.42 in patients with epilepsy . Lagunju et al . have reported a significantly higher frequency of injuries in children with epilepsy compared with their age‐ and sex‐matched counterparts.…”

Section: Introductionmentioning

confidence: 96%

“…have reported a significantly higher frequency of injuries in children with epilepsy compared with their age‐ and sex‐matched counterparts. They have also found a statistically significant association between seizure frequency and seizure‐related injuries . Available data indicate that the risk for dentoalveolar injuries further increases in patients with poorly controlled epileptic seizures .…”

Section: Introductionmentioning

confidence: 99%

Management of cervical root fracture injury in a patient with epilepsy: Case report with 5‐year follow‐up

Ataol¹,

Ünverdi

Güngör

2018

Special Care in Dentistry

View full text Add to dashboard Cite

The difficulty in providing stability to the coronal segment makes cervical root fracture one of the most challenging dental traumatic injury. This type of injury is less frequent in children. However, due to their serious consequences and poor prognosis, tooth loss may occur. This report presents the management of a case of cervical root fracture in an 11-year-old patient with epilepsy. The stabilization of the root-fractured tooth with a splint failed due to the recurrent seizures the patient had. Coronal fragment was removed and vital root submergence was performed in order to support the alveolar growth. The natural tooth crown was incorporated into a modified Nance appliance to meet the esthetic and functional requirements of the patient. After 5-year follow-up, this treatment approach has seemed to offer a long-term provisional and satisfactory solution to the consequences of a cervical root fracture injury.

show abstract

Seizure-related injuries in children and adolescents with epilepsy

Cited by 33 publications

References 19 publications

Association between epilepsy and oral maxillofacial trauma: A systematic review and meta‐analysis

Association between epilepsy and oral maxillofacial trauma: A systematic review and meta‐analysis

Risk factors for injury in a community‐treated cohort of patients with epilepsy in Australia

Management of cervical root fracture injury in a patient with epilepsy: Case report with 5‐year follow‐up

Contact Info

Product

Resources

About