A Study on Occurrence of Attention Deficit Hyperactivity Disorder in Patients with Febrile Seizures Presenting To Pediatric Hospital, Bikaner, Rajasthan.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 4
Abstract
Introduction: Febrile Seizures (F.S) and Attention-Deficit/Hyperactivity Disorder (ADHD) are disorders of the central nervous system and share common risk factors. The relationship between two remains enigmatic. There is controversy on the possible relation, while some studies approve a strong relation, some exclude any. Hence current study was conducted to assess the risk of ADHD, factors affecting the occurrence of ADHD and association of type of ADHD in patients with F.S. Methodology: It is a comparative cross sectional study conducted on children between ages 3-12 years, presenting to pediatric department, P. B. M. Hospital, Bikaner. Inclusion Criteria: Group A: Patients who fullfil the diagnostic criteria for febrile seizures in the present or those with documented past history of febrile seizures. Group B: were patients who are not diagnosed with febrile seizures. Exclusion Criteria: Patients with preexisting corporeal or psychological disorder, other types of seizure disorder. Methods of Study: All parents of the patients enrolled in study were subjected to the detailed history taking using a self-designed proforma. For diagnosis of ADHD in this study DSM 5 was used. Results: ADHD was detected in 14.79% of cases with febrile seizures (p=0.034). Males exposed to this risk factor are more prone to develop ADHD (21.42 %). Risk of developing ADHD is related to multiple episodes of FS (21.88%), family history of FS (35.29%) and use of AED (30%). Conclusion: This study reports high prevalence of ADHD and also identifies the variables associated with increased risk of ADHD in children with febrile seizures. In view of the high prevalence of ADHD in children with febrile seizure it is imperative for clinicians to detect ADHD in this high risk group to initiate appropriate management, thereby reduce the negative long term consequences.
Authors and Affiliations
G. S. Sengar
Keywords
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