Clinical characteristics of benign convulsions with rotavirus gastroenteritis

Masashi Motoyama1, Takashi Ichiyama, Takeshi Matsushige

  • 1Department of Pediatrics, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan.

Insights

Carbamazepine effectively treated benign convulsions in infants with rotavirus gastroenteritis. This treatment showed a high success rate, with most patients experiencing no further seizures after administration.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Neurology

Background:

  • Gastroenteritis, particularly rotavirus infections, can precipitate convulsions in young children.
  • The specific characteristics and management of these convulsions require further investigation.

Purpose of the Study:

  • To investigate the clinical features of convulsions associated with rotavirus gastroenteritis in infants and toddlers.
  • To evaluate the efficacy of carbamazepine in managing benign convulsions linked to rotavirus gastroenteritis.

Main Methods:

  • Retrospective analysis of hospital records for 106 patients with rotavirus gastroenteritis (February 2002 - April 2008).
  • Categorization of convulsion types (benign, febrile seizures, epilepsy) and comparison of clinical parameters (body weight, serum creatinine, electrolytes) between groups.
  • Assessment of carbamazepine treatment outcomes in patients with benign convulsions.

Main Results:

  • Twenty-three out of 106 patients experienced convulsions; 13 had benign convulsions.
  • Patients with benign convulsions exhibited milder gastroenteritis symptoms and lower serum sodium and chloride levels upon admission.
  • Carbamazepine (5 mg/kg) was effective in 12 out of 13 patients with benign convulsions, preventing further seizures.

Conclusions:

  • Benign convulsions associated with rotavirus gastroenteritis are characterized by milder illness and electrolyte imbalances.
  • Carbamazepine demonstrates significant efficacy in treating benign convulsions secondary to rotavirus gastroenteritis in pediatric patients.

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