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Convulsions with Gastroenteritis: Reflections on some Cases and Tentative Diagnostic Score
Lunardi Sara, Maddaluno Simona, Barrani Monica
1Director Mother and Child Department, Pediatric and Neonatology Unit Eastern Liguria Hospital; Via V. Veneto, 197 -19124 - La Spezia, Italy. neonatologia.sp@gmail.com.
Current Pediatric Reviews
|August 13, 2016
Summary
Convulsion With Gastroenteritis (CWG) is a benign condition often misdiagnosed. A new diagnostic score (CWGDS) accurately identifies CWG from patient history, reducing parental anxiety and unnecessary procedures.
Area of Science:
- Pediatric Neurology
- Gastroenterology
Background:
- Convulsion With Gastroenteritis (CWG) is a recognized benign condition since 1980.
- Lack of clear diagnostic criteria for CWG leads to exclusion-based diagnosis and parental distress.
Observation:
- A series of five pediatric cases with seizures and gastrointestinal symptoms were admitted between January 2014 and April 2015.
- All cases exhibited characteristics consistent with CWG and had a benign clinical course.
Findings:
- A novel diagnostic score, the Convulsion With Gastroenteritis Diagnostic Score (CWGDS), was developed based on literature review.
- The CWGDS demonstrated 100% agreement with clinical diagnosis in the studied cases.
Implications:
- The CWGDS facilitates rapid and accurate diagnosis of CWG, distinguishing it from more severe conditions.
- Implementing the CWGDS can help clinicians avoid unnecessary invasive procedures and provide reassurance to parents of affected children.
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