Maternal Thyroid Dysfunction and Risk of Seizure in the Child: A Danish Nationwide Cohort Study

Thyroid hormones are essential for brain development, and maternal thyroid disease may affect child neurocognitive development. Some types of seizures may also depend upon early exposure of the developing central nervous system, and we hypothesized that maternal thyroid dysfunction could increase th...

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Main Authors: Stine Linding Andersen, Peter Laurberg, Chun Sen Wu, Jørn Olsen
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Journal of Pregnancy
Online Access:http://dx.doi.org/10.1155/2013/636705
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author Stine Linding Andersen
Peter Laurberg
Chun Sen Wu
Jørn Olsen
author_facet Stine Linding Andersen
Peter Laurberg
Chun Sen Wu
Jørn Olsen
author_sort Stine Linding Andersen
collection DOAJ
description Thyroid hormones are essential for brain development, and maternal thyroid disease may affect child neurocognitive development. Some types of seizures may also depend upon early exposure of the developing central nervous system, and we hypothesized that maternal thyroid dysfunction could increase the risk of seizure in the child. In a Danish population-based study we included 1,699,693 liveborn singletons, and from the Danish National Hospital Register we obtained information on maternal diagnosis of hyper- or hypothyroidism and neonatal seizure, febrile seizure, and epilepsy in the child. Maternal diagnosis of thyroid dysfunction before or after birth of the child was registered in two percent of the singleton births. In adjusted analyses, maternal hyperthyroidism and hypothyroidism first time diagnosed after birth of the child were associated with a significant increased risk of epilepsy in the child. Moreover, hypothyroidism diagnosed after birth of the child was associated with a significant increased risk of neonatal and febrile seizures. No significant association was seen for maternal diagnosis prior to birth of the child. We speculate if some degree of maternal thyroid dysfunction was already present during the pregnancy in mothers diagnosed after birth of the child and if this untreated condition may present a neurodevelopmental risk.
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spelling doaj-art-d787455dff634007808a57deb03992832025-02-03T07:25:08ZengWileyJournal of Pregnancy2090-27272090-27352013-01-01201310.1155/2013/636705636705Maternal Thyroid Dysfunction and Risk of Seizure in the Child: A Danish Nationwide Cohort StudyStine Linding Andersen0Peter Laurberg1Chun Sen Wu2Jørn Olsen3Department of Endocrinology, Aalborg University Hospital, Søndre Skovvej 15, 9000 Aalborg, DenmarkDepartment of Endocrinology, Aalborg University Hospital, Søndre Skovvej 15, 9000 Aalborg, DenmarkSection for Epidemiology, Department of Public Health, Aarhus University, 8000 Aarhus C, DenmarkSection for Epidemiology, Department of Public Health, Aarhus University, 8000 Aarhus C, DenmarkThyroid hormones are essential for brain development, and maternal thyroid disease may affect child neurocognitive development. Some types of seizures may also depend upon early exposure of the developing central nervous system, and we hypothesized that maternal thyroid dysfunction could increase the risk of seizure in the child. In a Danish population-based study we included 1,699,693 liveborn singletons, and from the Danish National Hospital Register we obtained information on maternal diagnosis of hyper- or hypothyroidism and neonatal seizure, febrile seizure, and epilepsy in the child. Maternal diagnosis of thyroid dysfunction before or after birth of the child was registered in two percent of the singleton births. In adjusted analyses, maternal hyperthyroidism and hypothyroidism first time diagnosed after birth of the child were associated with a significant increased risk of epilepsy in the child. Moreover, hypothyroidism diagnosed after birth of the child was associated with a significant increased risk of neonatal and febrile seizures. No significant association was seen for maternal diagnosis prior to birth of the child. We speculate if some degree of maternal thyroid dysfunction was already present during the pregnancy in mothers diagnosed after birth of the child and if this untreated condition may present a neurodevelopmental risk.http://dx.doi.org/10.1155/2013/636705
spellingShingle Stine Linding Andersen
Peter Laurberg
Chun Sen Wu
Jørn Olsen
Maternal Thyroid Dysfunction and Risk of Seizure in the Child: A Danish Nationwide Cohort Study
Journal of Pregnancy
title Maternal Thyroid Dysfunction and Risk of Seizure in the Child: A Danish Nationwide Cohort Study
title_full Maternal Thyroid Dysfunction and Risk of Seizure in the Child: A Danish Nationwide Cohort Study
title_fullStr Maternal Thyroid Dysfunction and Risk of Seizure in the Child: A Danish Nationwide Cohort Study
title_full_unstemmed Maternal Thyroid Dysfunction and Risk of Seizure in the Child: A Danish Nationwide Cohort Study
title_short Maternal Thyroid Dysfunction and Risk of Seizure in the Child: A Danish Nationwide Cohort Study
title_sort maternal thyroid dysfunction and risk of seizure in the child a danish nationwide cohort study
url http://dx.doi.org/10.1155/2013/636705
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AT chunsenwu maternalthyroiddysfunctionandriskofseizureinthechildadanishnationwidecohortstudy
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