Electroencephalographic Abnormalities in First Onset Afebrile and Complex Febrile Seizures and Its Association with Type of Seizures
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 8
Abstract
Aims and Objectives: (1) To determine the frequency of abnormal Electroencephalogram in children presenting with first-onset afebrile and complex febrile seizures. (2) To find out most common EEG patterns associated with first-onset afebrile and complex febrile seizures. Study Design:- It was an observational prospective, stratified randomized cohort study done in a tertiary care hospital in a metropolitan city. Materials and Methods:- The study was approved by the Institutional ethical committee. The patients attending the Emergency, in-patient and outpatient Departments of Pediatrics Division of ourinstitute were enrolled for the study as per the criteria given. It was a prospective, stratified-randomized cohort study conducted on children in the age group of 6 months to 12 years having first-onset unprovoked seizures and Complex febrile seizures. Results:- The mean age of seizure occurrence was 6.3 years. Male preponderance was noticed with a ratio of 1.63:1.EEG abnormalities were seen jn 40 patients (40%). EEG abnormalities were most commonly associated with partial seizures (53.57%) followed by generalized seizures (40%). EEG abnormalities were least commonly seen with complex febrile seizures (21.85%). Sharp and spike waves, alone or in the combination were overall most common EEG findings. In generalized seizures, most common EEG abnormality found was sharp waves which were seen in 8/18(44.44%). Second most common pattern of EEG abnormality in generalized seizures were either spike waves 3/18(16.67%) or sharp and spike waves 3/18(16.67%). Asymmetry with sharp waves and abnormal background with sharp waves are seen in 2/18 (11.11%) patients each. In partial seizures, most common pattern of EEG abnormality was spike waves seen in 4/15 (26.67%) second most common EEG abnormality in partial seizures was abnormal background with sharp waves and spikes which was seen in 3/15(20%).sharp waves, sharp and spike waves and asymmetry with sharp and spike waves. Incidence of each of these EEG abnormalities was same I e 2/15 (13.33) while asymmetry with sharp waves was seen in 1 patient (6.67%). In complex febrile seizures Asymmetry with sharp waves and spike, abnormal background with sharp waves and asymmetry with sharp waves were most common EEG abnormalities seen in 4/7(57.14%), 2/7(28.57) and 1/7(14.29%) patients respectively. Conclusion: EEG, preferably 3-4 days after the seizures, should be done in all pediatric patients presenting either with first onset afebrile or complex febrile seizures.
Authors and Affiliations
Dr Mohammed Ashfaque Tinmaswala
Keywords
Related Articles
- EP ID EP212267
- DOI -
- Views 100
- Downloads 0
A Prophylactic Phenylephrine Infusion for Preventing Hypotension during Spinal Anaesthesia for Caesarean Section and to Study its Effects on APGAR Score and Umbilical Artery Blood pH
BACKGROUND: Hypotension after spinal anaesthesia for caesarean section is a common complication. The usual approach to use vasopressors in this clinical setting is reactive rather than proactive; spinal anaesthesia induc...
Role of Lipid Panel in Patients of Chronic Renal Disease: Hospital Based Study
Chronic renal failure (CRF) is a state which results from a permanent and usually progressive reduction in renal function. Chronic renal failure (CRF) is also known as chronic kidney disease (CKD). Chronic kidney disease...
Paratesticular Fibrous Pseudotumor -A Rare Entity
Paratesticular tumors are rare intrascrotal masses that grow mainly in structures containing connective tissue around the testis, epididymis, or spermatic cord. We report here on a case of a 29 year-old man with a mass i...
Clinical Study of Incidence of Pulmonary Tuberculosis in Patients of Koch's Abdomen and Vice Versa
Introduction: Tuberculosis remains the principal cause of death in developing countries. Tuberculosis usually attacks the lungs but can also affect other parts of the body. Aims of study was to show the incidence of pulm...
Evaluation of Levels of Glycosylated Hemoglobin (HbA1c) in Patients with Type – 2 Diabetes Mellitus and in Healthy People, Attending P.M.C.H, Patna
Objective: The aim of present study was observing the incidence and magnitude of abnormal concentrations of glycosylated hemoglobin (HbA1C) in Type – 2 Diabetes Mellitus (NIDDM) and assessing the adequacy of control of t...