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Etiologies, outcomes, and risk factors for epilepsy in infants: a case-control study
Amira Masri1, Eman Badran, Hanan Hamamy
1The University of Jordan, Faculty of Medicine, Pediatric Department, Division of Child Neurology, Jordan. masriamira69@hotmail.com
Insights
Infant epilepsy is rarely benign, with symptomatic causes being most common. Parental consanguinity is a significant risk factor for developing epilepsy in infants.
Area of Science:
- Pediatric Neurology
- Epileptology
- Clinical Genetics
Background:
- Epilepsy in infancy presents unique diagnostic and management challenges.
- Understanding the etiologies and risk factors is crucial for early intervention and improved outcomes.
Purpose of the Study:
- To investigate the causes, outcomes, and risk factors associated with epilepsy in infants.
- To identify specific risk factors contributing to the development of epilepsy in this age group.
Main Methods:
- Retrospective analysis of infants (1-12 months) with their first afebrile seizure.
- Inclusion of an age-matched control group to identify risk factors.
- Review of medical records for demographic and clinical epilepsy data.
Main Results:
- Epilepsy was predominantly symptomatic (43.6%) or probably symptomatic (50.9%).
- Common etiologies included hypoxic-ischemic encephalopathy and cortical malformations.
- Parental consanguinity, family history of global developmental delay or epilepsy, and positive perinatal history were significant risk factors.
Conclusions:
- Afebrile convulsions in infancy are often indicative of serious underlying conditions.
- Consanguinity emerges as a major risk factor for infant epilepsy, highlighting genetic influences.
Objectives:
To determine the etiologies, outcomes, and risk factors for epilepsy in infants.
Patients And Methods:
This retrospective study included all children who had their first afebrile seizure between 1 and 12 months of age, and who were followed in the Child Neurology Clinic at the Jordan University Hospital from January 2004 to January 2006. Medical records were reviewed to collect demographic data and the clinical data pertaining to epilepsy. An age-matched control group of healthy children in a 1:2 ratio was included to determine the risk factors for epilepsy. For statistical analysis, SPSS, Version 13, was used.
Results:
Fifty-five patients were included in the study group and 111 were in the control group. Epilepsy was classified as follows: symptomatic in 24 (43.6%) children, probably symptomatic (cryptogenic) in 28 (50.9%) children, and idiopathic in 3 (5.5%) children. The etiologies of epilepsy in the symptomatic group included hypoxic-ischemic encephalopathy (n=11), cortical malformations (n=5), neurocutaneous syndromes (n=2), metabolic disorders (n=4), leukodystrophy (n=1), and craniosynostosis (n=1). Twenty-seven patients (49%) were seizure-free at their last follow-up visit for at least the last 6 months; only six patients (10.9%) continued to have normal development at the time of their last follow-up examination. The risk factors for epilepsy included parental consanguinity (P=0.0003), a family history of global developmental delay (P=0.0002), a family history of epilepsy (P=0.010), and a positive perinatal history (P=0.011).
Conclusion:
This study emphasized that afebrile convulsions in infancy are rarely benign. Furthermore, consanguinity was shown to be a major risk factor for epilepsy.
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