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Related Experiment Videos

Benign afebrile cluster convulsions with gastroenteritis: an observational study.

Hassib Narchi1

  • 1Sandwell and West Birmingham NHS Trust, Pediatric Department, Sandwell General Hospital, West Bromwich United Kingdom. hassibnarchi@hotmail.com

BMC Pediatrics
|March 10, 2004
PubMed
Summary

Afebrile seizures linked to viral gastroenteritis, previously thought rare outside Asia, are reported in British children. These seizures are typically benign, self-limiting, and do not require extensive investigation or long-term treatment.

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Area of Science:

  • Pediatric Neurology
  • Infectious Diseases
  • Epileptology

Background:

  • Afebrile seizures associated with viral gastroenteritis are rarely documented outside Asia.
  • Previous reports suggest a benign prognosis without need for specific interventions.

Purpose of the Study:

  • To report the occurrence of afebrile seizures in association with viral gastroenteritis in British children.
  • To evaluate the clinical characteristics, investigations, and outcomes of these cases.

Main Methods:

  • A cohort of 14 British children experiencing afebrile seizures and viral gastroenteritis was observed over three years.
  • Clinical data, neurological examinations, serum biochemistry, and in some cases, cerebrospinal fluid studies, neuroimaging, and electroencephalogram (EEG) were collected.

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Main Results:

  • All children recovered spontaneously within days, with no long-term sequelae observed up to 31 months.
  • Most seizures were generalized, short in duration, and did not recur after the first few days.
  • Investigations including EEG and neuroimaging were normal in children with prolonged seizures; Rotavirus was detected in 70% of tested cases.

Conclusions:

  • Afebrile seizures associated with viral gastroenteritis occur in diverse geographical locations, including Britain.
  • Recognition of this condition allows for parental reassurance.
  • Extensive investigations and long-term anticonvulsant therapy are generally not warranted due to the benign prognosis.