Hypoglycemia-occipital syndrome: a specific neurologic syndrome following neonatal hypoglycemia?

Journal of Child Neurology
Parvaneh KarimzadehMohammad Ghofrani

Abstract

This study attempted to elaborate the existence of a specific neurologic pattern observed in children who experienced neonatal hypoglycemia. Twenty-seven patients with seizure and history of neonatal hypoglycemia were compared with 28 children suffering from idiopathic occipital epilepsy. In both groups the most common type of seizure activities included eye movements and impaired consciousness responding well to treatment; however, ictal vomiting was more common in controls. Subjects were in epileptic and nonepileptic groups. Ninety percent of cases showed abnormal signal of the posterior head region on magnetic resonance imaging (MRI). A large number showed posterior abnormalities on electroencephalography (EEG). Visual loss with abnormal visual evoked potential was the most frequent visual finding. Fifty-five percent showed mild psychomotor retardation. This study demonstrates that neonatal hypoglycemia can induce a syndrome with a specific clinical spectrum consisting of epilepsy, visual disturbances, and psychomotor retardation. Hypoglycemia-occipital syndrome is an entity without statistically significant semiologic differences from the idiopathic type.

References

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Citations

Dec 3, 2013·Current Diabetes Reports·Edmond A Ryan, Rany Al-Agha
Sep 26, 2013·Archives of Disease in Childhood. Fetal and Neonatal Edition·Hyung Chul WooRose M Viscardi
May 4, 2012·The Journal of Perinatal & Neonatal Nursing·Alta B KendallKristine A Karlsen
Jun 20, 2014·Lancet Neurology·Olivier DulacNicole I Wolf
Mar 3, 2017·Neonatology·Nabin PaudelUNKNOWN CHYLD Study Group

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