Showing 3 results for Complex Febrile Seizure
M Golestan, R Fallah, S Akhavan- Karbasi,
Volume 16, Issue 5 (1-2009)
Abstract
Introduction: Febrile seizure is the most common form of childhood seizures that occurs in 3–4% of them. In the approach for convulsive febrile patients, diagnosis of etiology of fever and exclusion of CNS infection is very important. The purpose of this study was to evaluate CNS infection in 100 CSF samples of children with febrile seizures.
Methods: In a descriptive retrospective study, CSF analysis results of 100 children with febrile seizures admitted between March 2002 and August 2004 to Yazd Shaheed Sadoughi Hospital were evaluated.
Results: 59 boys and 41 girls with mean age of 1.9±1.67 years were evaluated. Most of the cases (62%) were less than two years old. Febrile seizures were complex in 15% and simple in 85 %. The most common form of seizure was generalized tonic colonic (90%) and URI was the most prevalent etiology of fever. 3 cases had aseptic meningitis while status epilepticus was seen in one of them. No bacterial meningitis was seen.
Conclusion: Routine LP in all children with febrile convulsions should be avoided and limited to cases with clinical evidence of CNS infections in history and physical examination. All infants with first simple febrile seizure should be admitted to the hospital for close observation and lumbar puncture must be done if clinical signs of meningitis are present.
R Fallah, S Akhavan Karbasi, M Golestan, Z Islami, A Shajari, F Mir-Naseri,
Volume 16, Issue 5 (1-2009)
Abstract
Introduction: Febrile seizure is the most common type of seizure that occurs in 3– 4% of children below the age of 5 years. The purpose of this study was to determine the frequency of recurrence of febrile and afebrile seizures after the first febrile seizure.
Methods: In a descriptive prospective study, 139 children (6months to 6years old) admitted between March 2004and August 2005 at Yazd Shaheed Sadoughi Hospital because of febrile seizures were followed up for25.1±5.5 months for seizure recurrence.
Results: 76 boys and 63 girls with mean age of 2.03±1.21 year were studied. Febrile seizure was simple in 67% and complex in 33% of them. 37.4 % had febrile seizure recurrence with mean survival recurrence rate of 6.7±5.9, while 6.4% had afebrile seizures with mean survival recurrence rate of 7.8±9.4months. Risk factors for recurrence of febrile seizures included age below one year during the initial seizure and occurrence of seizure within one hour of onset of fever. Risk factors for epilepsy included focal febrile seizure, neurodevelopmental delay, occurrence of seizure within one hour of onset of fever and recurrent febrile seizures.
Conclusion: In this study, age of onset in infants below one year was one of risk factors of febrile seizure recurrence and it was more prolonged in infants. It is therefore advisable to seriously consider febrile seizures in this age group.
R Fallah, S Akhavan- Karbasi, F Mir-Naseri,
Volume 16, Issue 5 (1-2009)
Abstract
Introduction: Febrile seizure is the most common problem in pediatric neurology that occur s in 3– 4% of children. The purpose of this study was to evaluate demographic and clinical characteristics of first febrile seizures in children admitted to the hospital.
Methods: In a descriptive retrospective study, medical records of children with first febrile seizure, admitted between March 2004and August 2005 toYazd Shaheed Sadoughi Hospital were evaluated for demographic and clinical characteristics of first febrile seizures .
Results: 76 boys and 63 girls with mean age of 2.03 ± 1.21 years were evaluated. Febrile seizure type was complex in 33% and simple in 67 %. On the whole, 66 % occurred in less than two year olds and 6 % in more than four year olds. The most common form of seizure was generalized tonic colonic (79cases) and URI was the most prevalent etiology of fever.
Mean temperature on admission was 38.5o C. Mean seizure time and hospital stay (days) was 6.7 minutes and 2.3 days, both of which were statistically more significant in complex febrile seizure.
Conclusion: There were a significant number of complex febrile seizures in this study that necessitates more aggressive handling. As antipyretic use is ineffective in prevention of febrile seizures, undue stress on parents can be avoided by not emphasizing on antipyretic consumption.