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Clinical characteristics of children with febrile seizure
D Shrestha1, A K Dhakal1, H Shakya1
1Department of Pediatrics, KIST Medical College, Lalitpur, Nepal.
Insights
Febrile seizures are common in young children, with simple febrile seizures being the most frequent type. Early onset and recurrence are key factors in understanding febrile seizure patterns in pediatric patients.
Area of Science:
- Pediatrics
- Neurology
Background:
- Febrile seizures are a prevalent condition in children under five years old.
- Understanding the clinical characteristics of febrile seizures is crucial for effective management.
Purpose of the Study:
- To evaluate the clinical profile of children experiencing febrile seizures.
- To identify demographic and clinical factors associated with febrile seizures in a pediatric population.
Main Methods:
- A descriptive retrospective study was conducted from July 2009 to June 2013.
- Included 103 children aged six months to six years with febrile seizures.
- Excluded patients with afebrile seizures, neurodevelopmental issues, or outside the age range.
Main Results:
- Simple febrile seizures (76.7%) were more common than complex febrile seizures (23.3%).
- Generalized tonic-clonic seizures were most frequent (71.8%).
- Recurrence was observed in 33% of patients, strongly linked to initial seizures before age one.
Conclusions:
- Febrile seizures predominantly affect children under two years old, with simple febrile seizures being the most common type.
- Recurrence of febrile seizures is significant and associated with early-onset first episodes.
Background:
Febrile seizure is common in children below five years of age. This study was conducted to evaluate the clinical profile of children presenting with febrile seizure in a teaching hospital.
Methods:
This was a descriptive retrospective study among children presenting with febrile seizure in a teaching hospital from July 2009 to June 2013. Children between six months to six years were included in the study while patients with prior episodes of afebrile seizures, abnormal neurodevelopment and not meeting the age criteria were excluded. Patient's demographic and clinical data were collected from the in-patients records and analyzed.
Results:
This study included 103 children with febrile seizure. Out of which 67% were male. Simple febrile seizure and complex febrile seizure were observed in 76.7% and 23.3% of patients respectively. Majority of children (71.8%)had generalized tonic clonic seizure followed by tonic seizures. Most of children (72.8%) who developed first episode of seizure were below 24 months of age with the mean age of 20.7 (±12.1) months. Overall 33% of patients developed recurrence of febrile seizure and first episode of febrile seizure at age one year or below was associated with the seizure recurrence. Upper respiratory tract infections were the commonest cause of fever in these children.
Conclusions:
Febrile seizure was observed predominantly in children below age of two years and simple febrile seizure was the ommonest variety. Recurrence of febrile seizure was common and significantly associated with the first episode of febrile seizure at the age of one year or below.
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