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Recurrence of First Afebrile Unprovoked Seizure and Parental Consanguinity: A Hospital-Based Study
Miral A Al Momani1,2, Basima Almomani3, Salar Bani Hani2
1Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
Insights
Recurrent seizures in children are common, with over half experiencing a second attack. Parental consanguinity and focal seizures increase this risk, highlighting the need for public awareness.
Area of Science:
- Pediatric Neurology
- Epileptology
- Public Health
Background:
- First unprovoked seizures in children represent a significant clinical concern.
- Understanding recurrence risk factors is crucial for management and prognosis.
Purpose of the Study:
- To determine the incidence of first unprovoked seizures in children.
- To identify clinical characteristics and risk factors for seizure recurrence.
Main Methods:
- Retrospective observational study.
- Evaluation of medical records for children aged 1 month to 16 years.
- 1-year follow-up period for seizure recurrence.
Main Results:
- High incidence of first unprovoked seizures (441 per 100,000 pediatric visits).
- Over half (55.3%) of children experienced seizure recurrence.
- Parental consanguinity (OR=2.785) and focal seizures (OR=1.798) significantly increased recurrence risk.
Conclusions:
- Parental consanguinity and focal seizures are key risk factors for pediatric seizure recurrence.
- Findings emphasize the need for public education on consanguinity's impact on health outcomes.
- Improved awareness can enhance quality of life for affected children.
Purpose:
The aim of the current study was to determine the incidence, clinical characteristics, and risk factors associated with the recurrence of first unprovoked seizure in children.
Methods:
A retrospective, observational study was conducted at King Abdullah University Hospital in Jordan. Children aged from 1 month to 16 years old who attended the hospital between January 2013 to December 2017 were evaluated on the basis of medical records, from the first visit and for a 1-year follow-up period.
Results:
During the study period, a total of 290 cases with first unprovoked seizure were included. The incidence of first unprovoked seizure was 441 cases per 100 000 patient visits to the pediatric clinic. More than half of the cases developed a second attack (55.3%). Children with parental consanguinity were almost 3 times more likely to develop a second attack of seizure compared to those without parental consanguinity (odds ratio [OR] = 2.785, 95% confidence interval [CI] = 1.216-6.378, P = .015) and patients who had a history of focal type of seizure were almost twice as likely to develop seizure recurrence (OR = 1.798, 95% CI = 1.013-3.193, P = .045).
Conclusions:
The current results showed a high incidence of first unprovoked seizure among children in Jordan. Parental consanguinity and focal seizure were associated with the increased risk of recurrent attack. This finding highlights the need for public education regarding the outcomes of parental consanguinity to improve the patient's quality of life.
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