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The prevalence of seizures in children with developmental delay
Raidah Albaradie1, Hafiz Habibullah1, Ali Mir1
1From the Department of Pediatric neurology (Albaradie, Habibullah, Mir), Neuroscience Center (Bashir), King Fahad Specialist Hospital, Dammam, from the College of Medicine (Alshammari, Alajmi, Alsubaie, Alsudairi), Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia.
Insights
Epilepsy is common in children with global developmental delay (GDD). Advanced paternal age and seizure type are key factors associated with epilepsy in this population.
Area of Science:
- Pediatric Neurology
- Developmental Pediatrics
- Clinical Epidemiology
Background:
- Global developmental delay (GDD) is a significant concern in pediatric neurology.
- The co-occurrence of epilepsy in children with GDD requires further investigation.
- Understanding risk factors for epilepsy in GDD is crucial for early intervention.
Purpose of the Study:
- To determine the prevalence of epilepsy in children diagnosed with GDD.
- To identify patient characteristics associated with epilepsy in GDD.
- To examine the influence of risk factors on the GDD-epilepsy association.
Main Methods:
- Retrospective cross-sectional study design.
- Data collected from electronic medical records of 200 pediatric patients with GDD.
- Study conducted at King Fahad Specialist Hospital, Saudi Arabia.
Main Results:
- Epilepsy prevalence was 56% among children with GDD.
- Generalized onset motor seizures were the most common type (37.5%).
- Advanced paternal age was significantly associated with epilepsy (p=0.003).
Conclusions:
- High prevalence of epilepsy in children with GDD highlights a critical clinical issue.
- Advanced paternal age and specific seizure types are significant factors in the GDD-epilepsy correlation.
- Further research is warranted to explore the complex relationship between GDD and epilepsy.
Objectives:
To study the prevalence of seizures in children with GDD and identify the characteristics of such patients; to examine the association of GDD with epilepsy and to determine the effect of certain risk factors on this association.
Methods:
A retrospective cross-sectional study conducted at the pediatric neurology and developmental assessment clinic at King Fahad specialist hospital (KFSH), Saudi Arabia. All data were collected by reviewing the electronic medical records of 200 pediatric patients who presented with global developmental delay from February 2016 to April 2018.
Results:
The sample includes 200 children (113 males, 87 females) aged zero to 12 years. The largest group of participants came from the Dammam region, representing 27.5% of the sample. The prevalence of epilepsy in GDD patients was 56%; the epilepsy and non-epilepsy groups differed significantly in age. The most common type of seizure was generalized onset motor, which were observed in 37.5% of the sample. Problems during labor occurred in 15% of the sample; consanguineous marriage occurred in 61.6% of the participants. Neither of these factors differed significantly in the epilepsy and non-epilepsy groups. Advanced paternal age did differ significantly in the two groups (p=0.003).
Conclusion:
The prevalence of epilepsy is high in children with GDD, and of the factors studied here, the most significant variables affecting this correlation are the type of seizure and advanced paternal age.
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