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The Causes of Epilepsy The Causes of Epilepsy
Common and Uncommon Causes in Adults and Children
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Chapter 68 - Bacterial meningitis and focal suppurative intracranial infections in children

from Section 3 - Symptomatic epilepsy

Published online by Cambridge University Press:  05 March 2012

Simon D. Shorvon
Affiliation:
National Hospital for Neurology and Neurosurgery, London
Frederick Andermann
Affiliation:
Montreal Neurological Hospital and Institute
Renzo Guerrini
Affiliation:
Child Neurology Unit, Meyer Pediatric Hospital, Florence
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Summary

This chapter discusses the burden and the changing epidemiology of acute bacterial meningitis (ABM) and the incidence of epilepsy following ABM and intracranial abscesses in children. It identifies the predictive factors, therapeutic implications, and prevention of ABM and consequent epilepsy in these conditions. Of the acquired causes, central nervous system (CNS) infections are common in childhood and include bacterial meningitis, viral encephalitis, and intracranial suppurative infections such as brain abscess, subdural empyema, and cranial epidural abscess. The changing epidemiology of bacterial meningitis and the emergence of antibiotic resistant strains of pneumococcal meningitis demand regional guidelines for initial empirical treatment of ABM based on the knowledge of regional epidemiologic factors. The effectiveness of administration of dexamethasone before the first effective parenteral antibiotic dose in reducing neurologic and/or audiologic sequelae in children with Haemophilus influenzae type B (HiB) meningitis has been demonstrated in several studies.
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The Causes of Epilepsy
Common and Uncommon Causes in Adults and Children
, pp. 475 - 481
Publisher: Cambridge University Press
Print publication year: 2011

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