Abstract
Insulin hypoglycaemia(H)is the commonest form of H in childhood and severe and recurrent H can cause brain damage. Serial EEG recordings were made in 70 diabetic children(DC)(age 11,2±0, 5 yr, duration of diabetes (DD) 5,1±0, 4 yr, mean±SE)and EEG findings were related to age (at EEG and at diagnosis), DD, daily insulin dose, long-term metabolic control assessed by HbAI and severe H episodes. EEG abnormalities(EEG-A) were found in 26 p.d. of DC. There was no relationship between EEG-A and DD, daily insulin dose or HbA1. DC with EEG-A were younger(9,6±0,7 vs. 12,8±0,7 yr, p 0, 01), had an earlier onset of diabetes(4,8±0,6 vs. 7,6±0,6 yr) and 78 p.c. of them had severe antecedent H, whereas EEG-A were found in only 22 p.c. of DC with no H(p<0,001). All DC with H and convulsions had permanent EEG-A. The degree of metabolic control has no effect on the EEG during the early years of D, but severe antecedent H, young age and early onset are important risk factors.
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Acsádi, G., Soltész, G. THE EFFECT OF SEVERE HYPOGLYCAEMIA AND DIABETES ON THE EEG IN DIABETIC CHILDREN. Pediatr Res 22, 231 (1987). https://doi.org/10.1203/00006450-198708000-00108
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DOI: https://doi.org/10.1203/00006450-198708000-00108