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

Bioactive Compound Rich Indian Spices Suppresses the Growth of β-lactamase Produced Multidrug Resistant Bacteria

Background: Multidrug Resistance (MDR) among bacteria become a global concern due to failure of antibiotics, is drawn attention for best antimicrobials from the spices which have been using ancient days in Indian culinar...

Seropositivity and Risk Factors of Hepatitis B in Maharashtra, India 

Background: Hepatitis B is one of the most important infectious diseases worldwide. More than 240 million people have chronic (long term) liver infections. More than 780 000 people die every year due to complications...

 Study of Bacteriology of Post-Operative Wound Infection

Background:While many patients are admitted to hospital for treatment of infections, some acquire infection during their stay in the hospital. These infections are called as nosocomial infections. Surgical site infecti...

 Xanthogranulomatous Oophoritis- A Rare Inflammatory Lesion

Xanthogranulomatous inflammation is a specialform of chronic inflammation that is destructiveof affected organ. Xanthogranulomatous inflammationof ovary and fallopian tube is an uncommonentity and it is usually known to...

Download PDF file
  • EP ID EP101449
  • DOI -
  • Views 71
  • Downloads 0

How To Cite

Arpita S Thakker, Krishna A. Shetye (2016). Neurodiagnostic Evaluation of a Child with First Complex Febrile Seizure . Journal of Krishna Institute of Medical Sciences University, 5(2), 87-94. https://europub.co.uk/articles/-A-101449