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Comparative Study between Febrile Convulsions and Benign Convulsions Associated with Viral Gastroenteritis

Jaesung Yu1, Keeyoon Jung2, Hoseok Kang1

  • 1Departments of Pediatrics, Sunlin Hospital, Pohang, Korea.

Journal of Epilepsy Research
|March 21, 2014
PubMed

Insights

Febrile convulsions and those linked to viral gastroenteritis share good prognoses but differ in age, seasonality, family history, and recurrence rates. Gastroenteritis-associated seizures may cluster within 24 hours of admission.

Area of Science:

  • Pediatrics
  • Neurology
  • Infectious Diseases

Background:

  • Febrile convulsions are common in children.
  • Viral gastroenteritis can also be associated with convulsions.
  • Distinguishing between these conditions is important for prognosis and management.

Purpose of the Study:

  • To compare clinical features of febrile convulsions versus benign convulsions associated with viral gastroenteritis.
  • To identify differences in demographics, seasonality, family history, and recurrence.
  • To analyze seizure characteristics in children with and without gastroenteritis.

Main Methods:

  • Retrospective review of 706 children's medical records (2006-2009).
  • Classification into three groups: febrile convulsions (Group A), non-rotavirus gastroenteritis (Group B), and rotavirus gastroenteritis (Group C).
  • Analysis and comparison of clinical characteristics across the groups.

Main Results:

  • Group A (febrile convulsions) admissions peaked in spring; Group C (rotavirus) in winter.
  • Family history of febrile convulsions was noted in 55.6% (Group A), 46.5% (Group B), and 34.4% (Group C).
  • Cluster convulsions were more frequent in gastroenteritis groups (B & C) than Group A (p < 0.01); recurrence was higher in afebrile convulsions with diarrhea (33.3%) vs. febrile cases (10.3%, p = 0.015).

Conclusions:

  • All studied groups demonstrated favorable prognoses.
  • Significant differences observed in admission month distribution, age, family history, fever occurrence, and recurrence rates.
  • Afebrile convulsions with gastroenteritis showed a higher likelihood of cluster convulsions within 24 hours of admission.
Abstract

Keywords:
FebrileGastroenteritisSeizure

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