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Clinical pattern of seizures in hospitalized children
Mohammad I Dad1, Ghousia A Ismael, Abdulhameed A Al-Oufi
1Madina Maternity and Children`s Hospital, PO Box 4147, Al-Madina Al-Munawara, Kingdom of Saudi Arabia. Tel. +966 (4) 8380250. Fax. +966 (4) 8387465.
Insights
Pediatric seizures are a significant concern. Epilepsy is the leading cause, followed by febrile and hypocalcemic convulsions, necessitating further research into associated conditions like rickets.
Area of Science:
- Pediatric Neurology
- Clinical Pediatrics
- Epidemiology
Background:
- Seizures represent a substantial and complex health issue in children.
- Understanding the causes and presentation of pediatric seizures is crucial for effective management.
Purpose of the Study:
- To evaluate the prevalence and clinical characteristics of seizures in pediatric patients in Al-Madina Al-Munawara, Saudi Arabia.
Main Methods:
- A prospective study included children aged 8 days to 14 years admitted with seizures to Madina Maternity & Children's Hospital.
- Data were collected from April 2000 to July 2000.
Main Results:
- Out of 1593 pediatric admissions, 138 (8.7%) presented with seizures.
- Established epilepsy (37%), febrile convulsions (30.4%), and hypocalcemic convulsions (19.6%) were the most frequent causes.
- Other causes included first-time non-febrile seizures, neonatal seizures, encephalitis, and drug toxicity.
Conclusions:
- Epilepsy is the predominant cause of pediatric seizures in the studied region.
- Febrile and hypocalcemic convulsions are the second and third most common causes.
- Further investigation into the link between hypocalcemic seizures and active rickets in children is recommended.
Objective:
Seizures continue to be a major problem in the pediatric age group. The cause and clinical presentation of these seizures are vast and variable. This is a prospective study, conducted with the aim of assessing the magnitude and presentation of this problem in the region of Al-Madina Al-Munawara, Kingdom of Saudi Arabia.
Methods:
All the cases of seizures admitted to Madina Maternity & Children`s Hospital, Al-Madina Al-Munawara, Kingdom of Saudi Arabia from April 2000 to July 2000 were included in the study. The age groups studied were from 8 days old to 14 years.
Results:
Out of 1593 patients admitted to the Pediatric Department, 138 (8.7%) were admitted with seizures. Fifty-one (37%) cases were of established epilepsy, 42 (30.4%) of febrile convulsions and 27 (19.6%) of hypocalcemic convulsions. The rest of the total includes first attack of non-febrile seizure, neonatal seizures, encephalitis and drug toxicity.
Conclusion:
We observed and concluded that seizures due to epilepsy remain the most common cause, with febrile convulsion and hypocalcemic convulsion a second and third major causes. As observed, we also recommend further studies into the association of hypocalcemic seizures with underlying active rickets in the pediatric age group.
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