Clinical Profile, Aetiology, and Short Term Outcome of Convulsive Status Epilepticus in Children in Eastern India
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 1
Abstract
The study was done to assess the clinical profile, aetiology, neuroimaging pattern, short-term outcome and possible risk factors of status epilepticus (SE). A prospective study was carried out on convulsive status epilepticus patients at Pediatric Medicine Department from February 2011 to January 2012 . 40 children within age group 6 months to 12 years were included in the study. They were studied for clinical presentation, laboratory findings, efficacy of management and short-term outcome. Among 40 patients of SE aged between 6 months to 12 years, maximum (80%) were <5 yrs of age. GTCS (generalized tonic-clonic seizure) was the most common(75%) type of seizure.SE with fever was more common in <2 yrs of age (71.5%).The most common cause of SE in this study was acute symptomatic (50%) and meningitis was leading cause. Cerebral oedema (27.2%) was the most common abnormality found in neuroimaging.Seizure termination was done by Lorazepam in 60% and by diazepam and phenytoin combination in 35% patients. Age <2 years (p-value 0.04), seizure duration>45 minutes s (p 0.02) acute symptomatic etiology (p 0.04) were associated with poor outcome. We conclude that rapid termination of seizure and increase immunization coverage are important steps to prevent mortality and morbidity in SE.
Authors and Affiliations
Niloy Kumar Das
Keywords
Related Articles
- EP ID EP273224
- DOI -
- Views 71
- Downloads 0
Neonatal Outcomes in Pre-eclampsia: An Institutional Study
Background: Pregnancy induced hypertension is the most common medical problem encountered in pregnancy. It complicates up to 15% of pregnancies and accounts for approximately a quarter of all antenatal admissions. It rem...
Spectrum of Magnetic Resonance Imaging Findings in Spinal Tuberculosis
Aim: To describe the radiological features of spinal tuberculosis on Magnetic Resonance Imaging and study the role of MRI in assessing the extent of disease. Materials and Methods: This was a descriptive study conducted...
Gender, Trunk Muscle Endurance and Static Balance in Young Adults
Balance and muscular endurance gender-related differences are very controversial. Objective: This study aimed at examining the difference between young adult males and females in trunk muscles’ endurance and static balan...
Thyroid Dysfunction in Patient of Type 2 Diabetes Mellitus in a Tertiary Care Hospital
The study was intended to study the thyroid dysfunction in diabetic population. The association between thyroid and diabetes has long been recognized. This was an observations, prospective hospital based study conducted...
Total Thyroidectomy in a Recurrent Giant Goiter by Isthmus First Technique- A Case Report
A recurrent giant multinodular goiter poses surgical challenges, especially when both lobes extend into retropharyngeal space. So, here we are reporting a technique of operating in such a scenario. The patient presented...