Acta Scientific Paediatrics (ISSN: 2581-883X)

Case Report Volume 4 Issue 2

A Case of Early-infantile Epileptic Encephalopathy with Suppression-bursts- the Ohtahara Syndrome

Srijan Singh*

Senior Registrar, Department of Neonatology, Seth G S Medical College and KEM Hospital, Parel, Mumbai, Maharashtra, India

*Corresponding Author: Srijan Singh, Senior Registrar, Department of Neonatology, Seth G S Medical College and KEM Hospital, Parel, Mumbai, Maharashtra, India.

Received: December 11, 2020; Published: January 22, 2021

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Abstract

Ohtahara syndrome (OS) is an epileptic syndrome with onset in neonatal period and has many clinicoelectrical characteristics, of which age dependency and evolutional change is specific. The most specific EEG feature is the suppression burst (SB). This pattern is characterized by high voltage bursts alternating with flat suppression phases at a regular rate. A term neonate presented with seizures on day three of life. Seizures were intractable. Metabolic workup for seizures was normal. Extended panel neurometabolic screen was normal and neuroimaging did not reveal any structural abnormality. EEG showed burst suppression pattern suggestive of ohtahara syndrome. Virtually all reported cases of early infantile epileptic encephalopathy (EIEE) are secondary to a congenital or acquired structural malformation of cortical development. The etiology of this syndrome remains obscure. All children with EIEE should be thoroughly investigated with MRI, CSF amino acid level determination, and detailed postmortem neuropathologic examination.

Keywords: Ohtahara Syndrome; Seizures; Epileptic Encephalopathy; EEG; Suppression Burst

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Citation

Citation: Srijan Singh. “A Case of Early-infantile Epileptic Encephalopathy with Suppression-bursts- the Ohtahara Syndrome”. Acta Scientific Paediatrics 4.2 (2021): 06-10.




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