Electroencephalogram Abnormalities in Very Young Children with Acute Hepatitis A Infection: A Cross-Sectional Study

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SHAHRAMIAN IRAJ; MOHAMMADI MOHAMMAD HASSAN; AKBARI ALIREZA; SARGAZI ALIREZA; DELARAMNASAB MOJTABA; BAZI ALI

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Journal: Journal of Comprehensive Pediatrics Year:2019 | Volume:10 | Issue:3 Page(s): 00-00

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Title

Electroencephalogram Abnormalities in Very Young Children with Acute Hepatitis A Infection: A Cross-Sectional Study

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Keywords

Hepatitis A

Electroencephalography

Hepatic Encephalopathy

Abstract

Background: There is a shortage on studies concerned with electroencephalogram (EEG) abnormalities in neurologically asymptomatic children with acute Hepatitis A virus (HAV) infection. Objectives: In the present study, we evaluated EEG patterns in HAV infected children who had no symptoms of overt or minimal Hepatic Encephalopathy (HE). Methods: Forty-five children infected with HAV infection along with 45 healthy children were studied. EEG was acquired in resting condition with closed eyes. Statistical analysis was performed in SPSS V. 19 software. Results: Abnormal EEG patterns were recorded in 16 (35. 6%) children with HAV infection while no subject showed EEG abnormality in healthy subjects (P = 0. 02). Irregular spike along with alpha wave was the most frequent pattern (13 out of 16, 81. 2%). One patient (6. 3%) showed delta wave, and two patients (12. 5%) represented tri-phasic wave. The mean age of the patients with irregular EEG was significantly higher (89. 6 35. 2 months) than patients with normal EEG (60. 7 36. 2 months, P = 0. 01). Although a considerable number of patients with abnormal EEG had abnormally high AST (15/16), and ALT (14/16) levels, the means of neither AST nor ALT were significantly different when comparing patients with normal (535. 9 571. 8 and 660. 1 649. 8 IU/L, respectively) and abnormal (666. 4 834. 7 and 982. 1 1230. 7 IU/L, respectively) EEG patterns. Conclusions: AbnormalEEGis a relativelycommonfindingin children with acuteHAVinfection representingnosigns of HE. Higher age and elevated hepatic enzymes levels may predict abnormal EEG patterns in these patients.

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APA: Copy

SHAHRAMIAN, IRAJ, MOHAMMADI, MOHAMMAD HASSAN, AKBARI, ALIREZA, SARGAZI, ALIREZA, DELARAMNASAB, MOJTABA, & BAZI, ALI. (2019). Electroencephalogram Abnormalities in Very Young Children with Acute Hepatitis A Infection: A Cross-Sectional Study. JOURNAL OF COMPREHENSIVE PEDIATRICS, 10(3), 00-00. SID. https://sid.ir/paper/751698/en

Vancouver: Copy

SHAHRAMIAN IRAJ, MOHAMMADI MOHAMMAD HASSAN, AKBARI ALIREZA, SARGAZI ALIREZA, DELARAMNASAB MOJTABA, BAZI ALI. Electroencephalogram Abnormalities in Very Young Children with Acute Hepatitis A Infection: A Cross-Sectional Study. JOURNAL OF COMPREHENSIVE PEDIATRICS[Internet]. 2019;10(3):00-00. Available from: https://sid.ir/paper/751698/en

IEEE: Copy

IRAJ SHAHRAMIAN, MOHAMMAD HASSAN MOHAMMADI, ALIREZA AKBARI, ALIREZA SARGAZI, MOJTABA DELARAMNASAB, and ALI BAZI, “Electroencephalogram Abnormalities in Very Young Children with Acute Hepatitis A Infection: A Cross-Sectional Study,” JOURNAL OF COMPREHENSIVE PEDIATRICS, vol. 10, no. 3, pp. 00–00, 2019, [Online]. Available: https://sid.ir/paper/751698/en

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