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Published on: July 12, 2021
A comparative study of febrile and afebrile seizures associated with mild gastroenteritis
1Department of Pediatrics, College of Medicine, Kyung Hee University, Seoul, Republic of Korea.
Insights
Fever may alter seizure characteristics in children with mild gastroenteritis. Afebrile seizures linked to gastroenteritis might be a distinct condition needing further study.
Area of Science:
- Pediatric Neurology
- Infectious Diseases
Background:
- Seizures during mild gastroenteritis are increasingly reported in children.
- Understanding the clinical differences between febrile and afebrile seizures in this context is crucial.
Purpose of the Study:
- To analyze clinical characteristics of febrile and afebrile seizures associated with mild gastroenteritis.
- To determine the influence of fever on seizure presentation in children with gastroenteritis.
Main Methods:
- Retrospective review of medical records for 59 children with seizures during mild gastroenteritis.
- Classification into afebrile (n=27) and febrile (n=32) groups for comparison.
- Comparison of age, sex, seizure semiology, frequency, duration, family history, and prior seizure history.
Main Results:
- No significant differences in mean age, family history, seizure semiology, or frequency.
- Afebrile group showed a trend towards more frequent seizures (≥ 2/day).
- Febrile group showed a tendency for prolonged seizures (≥ 5 min) and a history of prior febrile seizures.
Conclusions:
- Fever appears to influence the clinical characteristics of seizures in children with gastroenteritis.
- Afebrile seizures associated with gastroenteritis may represent a distinct entity.
- Further large-scale studies are needed to confirm these findings.
Purpose:
Seizures associated with mild gastroenteritis have been increasingly reported. We analyzed the clinical characteristics of febrile and afebrile seizures associated with mild gastroenteritis, and attempted to determine the influence of fever in these two groups.
Methods:
We reviewed the medical records of 59 children presenting with seizures during a mild gastroenteritis episode. They were classified into an afebrile group (n=27) and a febrile group (n=32). We compared the age of onset, sex, seizure semiology, frequency, duration, family history, and prior history of seizures between the two groups.
Results:
The mean age, family history, seizure semiology, and frequency of seizures were not significantly different between the two groups. However, more patients in the afebrile group experienced ≥ 2 seizures/day than in the febrile group (63% vs. 38%, p=0.051). The febrile patients had a tendency of experiencing prolonged seizures lasting ≥ 5 min compared with the afebrile group (34% vs. 11%, p=0.063). Prior febrile seizures were noted in 5 of the 32 patients (15.6%) in the febrile group, while none of the 27 patients in the afebrile group had a history of prior seizures (p=0.056).
Conclusions:
It seems that the presence of fever may influence the clinical characteristics of seizures associated with mild gastroenteritis. We suggest that afebrile seizures associated with gastroenteritis may be regarded as a distinct condition from those associated with fever, and it needs to be clarified by a further large sample study.
Related Concept Videos
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:
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