Neurodiagnostic Evaluation of a Child with First Complex Febrile Seizure
Journal Title: Journal of Krishna Institute of Medical Sciences University - Year 2016, Vol 5, Issue 2
Abstract
Background: Febrile seizure is the most common type of childhood seizure and complex febrile seizure has been associated with the risk of epilepsy. The neurodiagnostic evaluation of a child with first CFS is still unclear. Aim & Objective: To assess the clinical characteristics and diagnostic evaluation of children aged 1 month to 5 years presenting with first Complex Febrile Seizure (CFS) and to determine the utility of various investigations in a case of first CFS. Material and Methods: A prospective study was conducted in the pediatric department of a tertiary hospital. Fortynine children aged 1 month-5 years with first CFS fulfilling the inclusion criteria were enrolled in the study over duration of 8-months. All the cases were evaluated with complete blood count, serum calcium, serum electrolytes, Electroencephalography (EEG), CT/MRI and lumbar puncture. Results: The investigation results were analyzed with respect to different CFS parameter like type of seizure (focal or generalized) and duration of seizure(less than or more than 15 minutes). Upper respiratory tract infection is the main cause of febrile seizure. The duration of CFS did not vary according to the underlying cause. Serum calcium levels are found to be lower in children with complex febrile seizure. All children with CFS, whether focal or multiple generalized, whether of long or short duration, had a normal EEG. Children who had prolonged focal and multiple generalized seizures had abnormal neuroimaging but it was not statistically significant. Conclusion: We conclude from our study that a child with first CFS may not need EEG and neuroimaging as a diagnostic evaluation test. Hypocalcemia can be identified in these children and can be corrected to stop the seizure. Further studies are needed on a large series of children with first CFS to form guidelines for their neurodiagnostic evaluation.
Authors and Affiliations
Arpita S Thakker , Krishna A. Shetye
Keywords
Related Articles
- EP ID EP101449
- DOI -
- Views 117
- Downloads 0
Estimation of Stature from Foot Dimensions and Stature among South Indian Medical Students Using Regression Models
Background: At times fragments of soft tissues are found disposed off in the open, in ditches at the crime scene and the same are brought to forensic experts for the purpose of identification and such type of cases p...
Complex Odontoma: Early Detection, Immediate Correction
Odontomas are the most common odontogenic tumors of the jaws, which are benign, slow growing and nonaggressive. Odontomas are usually asymptomatic, but sometimes may interfere with the eruption of the associated tooth...
Persistent Mullerian Duct Syndrome in a Post Orchideopexy Patient with Gyanaecomastia and Hypospadias: A Case Report
Persistent Mullerian Duct Syndrome (PMDS), a rare form of male pseudohermaphroditism. It is characterized by the persistence of Mullerian duct structures (uterus, fallopian tubes and upper two-thirds of vagina) in ot...
Effectiveness of Self Instructional Module on Knowledge and Skills RegardingUse of Glasgow Coma Scale in Neurological Assessment of Patients amongNurses Working in Critical Care Units of KLE Dr. Prabhakar Kore Hospitaland Medical Research Centre, Belgaum
Aim and Objectives: 1] To assess the knowledge and skills regarding the use of Glasgow Coma Scale in neurological assessment of patients among the staff nurses. 2] To determine the effectiveness of the Self Instructional...
Opportunities for Cervical Cancer Prevention in India