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Published on: June 21, 2019
Seizure related accidents and injuries in childhood
Thais Helena Buffo1, Marilisa M Guerreiro, Peter Tai
1Department of Neurology, State University of Campinas, SP, Brazil.
Insights
Children with epilepsy face a higher risk of accidents and injuries. Those with symptomatic epilepsy on multiple anti-epileptic drugs (AEDs) require extra caution due to increased accident risk.
Area of Science:
- Pediatric Neurology
- Epilepsy Research
- Patient Safety
Background:
- Patients with epilepsy have a significantly higher risk of accidents than the general population.
- Understanding seizure-related injuries in children is crucial for effective management and prevention.
Purpose of the Study:
- To determine the frequency and types of injuries resulting from seizures in pediatric epilepsy patients.
- To identify potential risk factors contributing to seizure-related accidents in childhood.
Main Methods:
- A study was conducted at a pediatric epilepsy clinic evaluating 100 children with epilepsy.
- Structured interviews with parents were used to collect data on seizure-related accidents and injuries.
- Statistical analysis was performed to identify risk factors associated with accidents.
Main Results:
- 44% of patients reported seizure-related accidents, with 18% requiring emergency room visits.
- Contusions and lacerations were the most common injuries.
- Symptomatic epilepsy and the use of multiple anti-epileptic drugs (AEDs) were identified as significant risk factors (p<0.05).
Conclusions:
- Children with symptomatic epilepsy on multiple AEDs are at a higher risk for seizure-related accidents.
- Increased vigilance and preventative measures are recommended for parents and caregivers of these high-risk children.
Abstract:
Several studies show that the risk of accidents involving patients with epilepsy is much higher compared to the general population. The objective of this study was to identify the frequency and type of seizure related injuries in children diagnosed with epilepsy. In addition we also assessed possible risk factors associated with this seizure related accidents in childhood. This study was conducted at the pediatric epilepsy clinic of Unicamp, from January 2005 to August 2006. We evaluated 100 consecutive children with epilepsy. Parents were interviewed by one of the authors using a structured questionnaire that included questions about seizure related accidents and related injuries. Forty-four patients reported seizure related accidents. Eighteen patients needed medical assistance at an emergency room due the severity of their seizure related accident. Forty patients reported having a seizure related accident prevented by a bystander. Another 14 patients reported avoiding a seizure related accident by luck alone. Contusions and lacerations were the most common type of lesion associated with seizures. Patients with symptomatic/probable symptomatic epilepsy and those using higher numbers of anti-epileptic drugs (AEDs) were at greater risk for seizure related accidents (p<0.05). We conclude that patients with symptomatic/probable symptomatic epilepsy and on multiple AEDs are at increased risk of seizure related accidents. Parents and caretakers should be even more cautious about risk of injury in such patients.
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