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Major and minor bio-element status in children with febrile seizure
S Akbayram1, M Cemek, A Büyükben
1Department of Pediatrics, Yuzuncu Yil University, Van, Turkey.
Insights
Febrile seizures (FS) in children are linked to lower levels of essential trace elements like zinc and selenium. This study found significant differences in calcium, magnesium, potassium, iron, gallium, zinc, and selenium levels between children with FS and healthy controls.
Area of Science:
- Pediatrics
- Clinical Chemistry
- Neuroscience
Background:
- Febrile seizures (FS) are the most common seizure type in children.
- The precise causes of FS are not fully understood, but genetic and environmental factors, including neurotransmitter and trace element levels, are implicated.
- Trace elements play crucial roles in neurological function.
Purpose of the Study:
- To investigate potential alterations in serum trace element concentrations in children experiencing febrile seizures.
- To compare element levels in children with FS against a healthy control group.
Main Methods:
- A prospective analytical case-control study design.
- Inclusion of 48 children diagnosed with FS and 55 age-matched healthy children.
- Measurement of serum levels for various elements including calcium, magnesium, potassium, iron, gallium, selenium, zinc, and strontium.
Main Results:
- Children with FS exhibited significantly lower serum concentrations of calcium, magnesium, potassium, iron, gallium, selenium, and zinc compared to controls (p<0.05 to p<0.001).
- Strontium levels showed no significant difference between the groups (p>0.05).
- Marked deficiencies in selenium and zinc were observed in the FS group.
Conclusions:
- Altered serum levels of multiple trace elements are associated with febrile seizures in children.
- Specific deficiencies in elements like zinc and selenium may play a role in the pathogenesis of FS.
- Further research is warranted to explore the therapeutic potential of correcting these elemental imbalances.
Abstract:
Febrile seizures (FS) are the most common cause of seizures in children. The exact etiopathogenesis is unknown but involves factors like genetic predisposition and alterations in the levels of neurotransmitters and some trace elements. The study includes 48 consecutive children with FS, and 55 healthy age matched control subjects. Calcium, magnesium and potassium concentrations in the febrile study group were lower than in the control group (p<0.05). Iron and Gallium levels in the study group were lower than in the control group (p<0.01). Serum Selenium (p<0.001), Zinc (p<0.001) and Strontium (p0.05). The aim of the present prospective analytical case-control study was to determine whether there was any change in element levels in children with FS (Ref. 33).
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Seizures: Classification
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:

