Seizure activity and neurological sequelae in Ugandan children who have survived an episode of cerebral malaria

Robert O. Opoka, Paul Bangirana, Michael J. Boivin, Chandy John, Justus Byarugaba

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Background: Seizures are a common presenting feature in children with cerebral malaria (CM) and neurologic deficits have been described in survivors of CM. However few prospective studies have described the frequency of seizure activity and neurologic deficits in survivors of CM over time. Methods: Eighty-two children aged 3 to 12 years who survived an episode of CM were followed up and monitored for seizure activity and neurologic deficits at discharge, 3, 6 and 24 months. Seventy six children with uncomplicated malaria (UM) and 105 healthy community controls (CC) age 3 to 12 years were recruited as comparison groups and the frequency of seizures in the 6 to 24 month follow-up period was compared in the 3 groups. Results: Cumulative incidence of seizures increased over time in children with CM, with a total of 2 of 76 children (2.6%) reporting seizures at 3 months, 3 of 74 children (4.1%) at 6 months and 11 of 68 children (16.2%) at 24 months (Chi square for trend = 9.36, P=0.002). In contrast, neurologic deficits almost completely resolved over time, occurring in 19 of 76 children with CM (25%) at discharge, 2 of 74 children (2.7%) at 6 months, and 1 of 68 (1.5%) children at 24 months. Conclusions: During the 24 months following a CM episode, neurologic deficits resolve but the cumulative incidence of seizures increases in children with CM. Neurologic impairment after an episode of CM may not be limited to the neurologic deficits seen at discharge.

Original languageEnglish (US)
Pages (from-to)75-81
Number of pages7
JournalAfrican Health Sciences
Volume9
Issue number2
StatePublished - Jun 2009
Externally publishedYes

Fingerprint

Cerebral Malaria
Seizures
Neurologic Manifestations
Survivors
Incidence
Nervous System
Malaria

Keywords

  • Cerebral malaria
  • Children
  • Neurological deficits
  • Seizures
  • Survivors

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Seizure activity and neurological sequelae in Ugandan children who have survived an episode of cerebral malaria. / Opoka, Robert O.; Bangirana, Paul; Boivin, Michael J.; John, Chandy; Byarugaba, Justus.

In: African Health Sciences, Vol. 9, No. 2, 06.2009, p. 75-81.

Research output: Contribution to journalArticle

Opoka, Robert O. ; Bangirana, Paul ; Boivin, Michael J. ; John, Chandy ; Byarugaba, Justus. / Seizure activity and neurological sequelae in Ugandan children who have survived an episode of cerebral malaria. In: African Health Sciences. 2009 ; Vol. 9, No. 2. pp. 75-81.
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