Concussive Convulsions: Seizure or no Seizure? - Kölner UniversitätsPublikationsServer

Nass, R. D., Elger, C. E., Fink, G. R. and Burghaus, L. (2011). Concussive Convulsions: Seizure or no Seizure? Forschritte Neurol. Psychiatr., 79 (11). S. 655 - 660. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-3522

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DOI:10.1055/s-0031-1281688

Abstract

Convulsions following traumatic brain injury (TBI) represent a diagnostic and therapeutic challenge. They can be differentiated into late (> 7 days after TBI), early (1 - 7 days after TBI), immediate (within the first 24 h after TBI), and impact seizures (within seconds after TBI). Some authors suggest that most impact seizures are non-epileptic in origin and hence coined the term concussive convulsions for benign impact seizures. Early and late post-traumatic seizures frequently indicate structural brain damage and transition to chronic, post-traumatic epilepsy. The data for impact seizures or concussive convulsions is less clear: only a small percentage of impact seizures is associated with structural brain damage and the development of post-traumatic epilepsy, rather the majority of cases are benign and associated with an excellent prognosis. Here, we present a case report as a starting point for pathophysiological and clinical considerations regarding convulsions that start within seconds after TBI.

Item Type:

Journal Article

Creators:

Creators	Email	ORCID	ORCID Put Code
Nass, R. D.	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Elger, C. E.	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Fink, G. R.	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Burghaus, L.	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED