Prevalence of some risk factors in children with epilepsy compared to their controls
Ali Cansu1, Ayşe Serdaroğlu, Deniz Yüksel
1Gazi University Faculty of Medicine, Department of Pediatric Neurology, Ankara, Turkey. acansu2003@yahoo.com
Insights
Neurological impairment, atypical febrile seizures, severe head injury, and low Apgar scores significantly increase epilepsy risk in children. Family history and moderate head trauma are also important factors.
Area of Science:
- Pediatric Neurology
- Epidemiology
Background:
- Epilepsy is a common neurological disorder in children.
- Identifying risk factors is crucial for prevention and early intervention.
Purpose of the Study:
- To determine the significance of various risk factors for epilepsy in Turkish children.
- To analyze the association between specific factors and epilepsy development.
Main Methods:
- Case-control study involving 805 children with epilepsy and 846 controls (aged 1-16).
- Investigated risk factors included neurological impairment, febrile convulsions, head trauma, CNS infections, family history, and birth-related issues.
- Data collected via questionnaires and medical records; analyzed using univariate and multivariate methods.
Main Results:
- Significant risk factors identified: neurological impairment (30.26-fold), atypical febrile seizures (21.97-fold), severe head injury (27.76-fold), and low Apgar score (7.78-fold).
- Other notable factors: moderate head injury (7.09-fold), family history of epilepsy (up to 6.42-fold), CNS infection (4.76-fold), maternal hypertension (4.31-fold), and neonatal jaundice (3.12-fold).
Conclusions:
- Neurological impairment, atypical febrile seizures, severe head injury, and low Apgar scores are the most critical epilepsy risk factors in this population.
- Moderate head trauma and family history of epilepsy also represent significant risks.
Aim:
The goal of this case-control study was to identify the significance of certain risk factors for epilepsy in Turkey.
Method:
A total of 805 cases, aged 1-16 years, followed-up for epilepsy at the Pediatric Neurology Department and a control group consisting of 846 age-matched cases without epilepsy were included in the study. The risk factors examined were gender, neurological impairment, febrile convulsion, head trauma, central nervous system infections, parental consanguinity, family history of epilepsy, prenatal and natal risk and newborn jaundice. Data regarding the investigated epilepsy risk factors were obtained through a questionnaire via personal interviews and the medical records and were assessed using univariate and multivariate analysis.
Result:
Univariate analysis showed an increased risk for epilepsy with a history of atypical febrile seizure (21.97-fold), severe and moderate head injury (27.76- and 7.09-fold respectively), CNS infection (4.76-fold), history of epilepsy in first-, second- or third-degree relatives (6.42-, 3.09- and 2.66-fold, respectively), presence of maternal hypertension (4.31-fold), an apgar score < or =6 at any time (7.78-fold) and neonatal jaundice (3.12-fold). Abnormal neurological signs increased the epilepsy risk 5.92 times in univariate analysis and 30.26 times in multivariate analysis.
Conclusion:
The most important risk factors for epilepsy in this study were neurological impairment, history of atypical febrile seizures, severe head injury and a low apgar score. Other important risk factors were moderate head trauma and a history of epilepsy in the family.
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