A STUDY ON METABOLIC SEIZURES IN A TERTIARY CARE PAEDIATRIC HOSPITAL
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 15
Abstract
BACKGROUND This study is about the seizures caused by metabolic derangements in children. Metabolic seizures are important because many conditions are treatable and all of them have a risk for recurrence in the same family. Metabolic diseases can cause seizures by interfering with energy metabolism, changing osmolality or producing endogenous toxins. Long-term antiepileptic therapy may be needed in some metabolic seizures. Aims and Objectives- To study the demography, the causes and the management of metabolic seizures. MATERIALS AND METHODS This was a descriptive study. Data on children with metabolic seizures who were admitted in Institute of Child Health and Hospital for Children, Madras Medical College, Chennai between January 1, 2014 and December 31, 2017 were included in this report. Inclusion Criteria- Children up to 12 years including new-borns who were admitted with metabolic seizures in Institute of Child Health and Hospital for Children, Madras Medical College, Chennai between January 1, 2014 and December 31, 2017 were included in this report. Exclusion Criteria- Children with perinatal asphyxia and structural brain abnormalities were excluded from this study. RESULTS Out of the 35 patients diagnosed to have metabolic seizures, 21 children had hypocalcaemia, 4 had hypoglycaemia, 3 had biotin deficiency and 2 had hyperglycaemia and 5 had pyridoxine responsive seizures. CONCLUSION 1. In all children with refractory seizures, metabolic causes should be thought of. 2. Hypocalcaemia is the commonest cause of metabolic seizures in our study.
Authors and Affiliations
Viveka Saravanan Raju, Leema Pauline Cornelius
Keywords
Related Articles
- EP ID EP414483
- DOI 10.14260/jemds/2018/431
- Views 74
- Downloads 0
A CASE REPORT OF PRIMARY LUMBAR HERNIA- SELDOM SEEN BY SURGEONS
CASE PRESENTATION A 54-year-old moderately built gentleman presented to surgery OPD with complaints of swelling over the left lumbar region for the past 5 months associated with dull aching left sided abdominal pain for...
MANAGEMENT OF BICONDYLAR TIBIAL PLATEAU FRACTURES TREATED WITH LATERAL LOCKING PLATE
[b]BACKGROUND AND OBJECTIVES[/b]: Incidence of fracture of proximal tibial fractures is increasing regularly due to Road Traffic Accidents. Being one of the major weights bearing joint around it will be paramount i...
PATTERN OF SURGICAL TRAUMA- A RETROSPECTIVE STUDY
BACKGROUND Surgical trauma is known to be an important public health problem throughout the world and so also in metropolitan cities in our country, due to erratic traffic and poor response by onlookers as well as poorly...
INFLUENCE OF MATERNAL FACTORS ON FOETAL MALNUTRITION USING CAN SCORE ASSESSMENT- A TERTIARY CARE CENTRE EXPERIENCE
BACKGROUND Potential conditions that predispose babies to being small at birth are quite common in tropical practice. Several factors may predispose to SGA delivery.1 Maternal factors known to contribute to foetal malnut...
IMAGING IN PEDIATRIC EPILEPSY: SPECTRUM OF ABNORMALITIES DETECTED ON MRI
[b] OBJECTIVE[/b]: To evaluate role of radio-imaging, with emphasis on MRI in comparison to other modalities, in patients of paediatric age group presenting with epilepsy and correlate it with clinical findings...