Abstract
The clinical characteristics and electroencephalogram (EEG) findings in delirious
behavior in children with influenza were studied in order to differentiate it from
influenza-associated encephalitis/encephalopathy. Fifteen consecutive children with
delirious behavior associated with influenza were investigated. Their clinical courses
were investigated using medical records. EEG was obtained during the delirious behavior,
when possible. The body temperature during the delirious behavior was 39.0 °C or higher in 13 children. A subtle reduction of consciousness was observed in 10
children. Seizures were observed in five children. EEG revealed some mildly abnormal
findings in 13 children, including mild slowing of the background activity, insertion
of semirhythmic high voltage slow waves, and appearance of relatively high voltage
semirhythmic theta waves. The EEG findings normalized after the delirious behavior
had disappeared. EEG revealed transient and mild abnormalities in children with delirious
behavior but without encephalitis/encephalopathy, and thus might be useful for diagnostic
evaluation in such condition.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Brain and DevelopmentAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Encephalopathy associated with influenza epidemics.Lancet. 2000; 355: 1558-1559
- Encephalitis and encephalopathy associated with an influenza epidemic in Japan.Clin Infect Dis. 2002; 35: 512-517
- Impairment of consciousness and coma.in: Swaiman K.S. Ashwal S. Peditric neurology. Principles and practice. 3rd ed. Mosby, St Louis1999: P861-P972
- EEG in deirium.Sem Clin Neuropsychiatry. 2000; 5: 86-92
- Conventional and quantitative EEG in the diagnosis of delirium among the elderly.J Neurol Neurosurg Psychiatry. 1993; 56: 153-158
- Infectious diseases.in: Aicardi J. Diseases of the nervous system in childhood. 2nd ed. Mac Kieth Press, London1998: P373-P437
- Serial quantitative EEG among elderly subjects with delirium.Biol Psychiatry. 1993; 34: 135-140
- Differential diagnosis in children having delirium associated with high fever (in Japanese).No To Hattatsu. 2003; 35: 310-315
Article info
Publication history
Accepted:
July 6,
2004
Received in revised form:
July 6,
2004
Received:
October 14,
2003
Identification
Copyright
© 2004 Elsevier B.V. Published by Elsevier Inc. All rights reserved.