Metabolic profile of oxidative stress and trace elements in febrile seizures among children

Hosny M A El-Masry1, Abdelrahim A Sadek2, Mohammed H Hassan3

  • 1Department of Pediatrics, Faculty of Medicine Al-Azhar University (Assiut Branch), Assiut, Egypt.

Insights

Febrile seizures (FS) involve oxidative stress, with higher nitric oxide and malondialdehyde, and lower zinc and selenium. Antioxidant therapy with valproate may improve outcomes in complex FS.

Area of Science:

  • Pediatrics
  • Neurology
  • Biochemistry

Background:

  • Febrile seizures (FS) are common in young children.
  • Oxidative stress and trace mineral imbalances are implicated in seizure pathogenesis.
  • Understanding these biochemical changes is crucial for effective management.

Purpose of the Study:

  • To compare serum oxidative stress markers and trace minerals in children with FS versus controls.
  • To investigate the relationship between EEG findings and these markers in complex FS.
  • To evaluate the impact of antioxidant therapy on clinical outcomes in complex FS.

Main Methods:

  • Serum levels of nitric oxide (NO), malondialdehyde (MDA), superoxide dismutase (SOD), copper (Cu), zinc (Zn), and selenium (Se) were measured.
  • Colorimetric assays were used for biochemical analysis.
  • Patients included 80 children with FS (simple and complex) and 40 controls.

Main Results:

  • Children with FS showed elevated NO, MDA, and Cu, with decreased SOD, Zn, and Se compared to controls.
  • Complex FS with abnormal EEG had higher NO and MDA than those with normal EEG.
  • Valproate therapy significantly reduced NO and MDA levels in complex FS patients.

Conclusions:

  • Oxidative stress, altered copper, zinc, and selenium levels may contribute to FS.
  • Valproate therapy demonstrates potential in mitigating oxidative stress in complex FS.
  • Further research into the role of trace minerals and oxidative stress in FS is warranted.

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