West syndrome following deep hypothermic infant cardiac surgery.

Abstract:

:Postoperative seizures are among the more common complications of cardiac surgery in children. These seizures have traditionally been considered benign, transient phenomena with little, if any, prognostic significance. We report 4 infants with early postoperative seizures following cardiac surgery who later developed the previously unreported complication of West syndrome, with infantile spasms, hypsarrhythmia, and developmental delay. This group constitutes 6% of 67 infant spasms evaluated over a 5-year period at Boston Children's Hospital. The postoperative seizures in these 4 patients were more difficult than usual to control with antiepileptic therapy; otherwise no intra- or perioperative features distinguished these infants who later developed West syndrome from infants with apparently benign "postpump seizures."

journal_name

Pediatr Neurol

journal_title

Pediatric neurology

authors

du Plessis AJ,Kramer U,Jonas RA,Wessel DL,Riviello JJ

doi

10.1016/0887-8994(94)90111-2

subject

Has Abstract

pub_date

1994-10-01 00:00:00

pages

246-51

issue

3

eissn

0887-8994

issn

1873-5150

pii

0887-8994(94)90111-2

journal_volume

11

pub_type

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