Serum level of vitamin A in febrile children with and without seizure: A comparative study

Elham Bakhtiari1, Farhad Heydarian2, Fatemeh Azmoudeh2

  • 1Eye Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Heliyon
|August 10, 2023
PubMed

Insights

Serum vitamin A levels did not differ between febrile children and those with febrile seizures (FS). However, in children over 24 months, higher vitamin A levels were observed in the FS group, suggesting a potential role in older children.

Area of Science:

  • Pediatrics
  • Neurology
  • Nutritional Science

Background:

  • The role of vitamins and antioxidants in febrile seizures (FS) is under investigation.
  • Vitamin A's influence on seizures is controversial, with potential to either suppress or provoke them.

Purpose of the Study:

  • To compare serum vitamin A levels in febrile children and children experiencing febrile seizures.
  • To investigate the relationship between vitamin A levels and febrile seizures in different age groups.

Main Methods:

  • A cross-sectional study included 80 children aged 6-60 months, divided into 40 febrile children and 40 with FS.
  • Serum vitamin A levels and other blood parameters were measured from blood samples.

Main Results:

  • No significant difference in serum vitamin A levels was found between the febrile and FS groups overall.
  • In children older than 24 months, serum vitamin A levels were significantly higher in the FS group compared to the febrile group (p=0.01).
  • No significant difference was observed in children under 24 months.

Conclusions:

  • Serum vitamin A levels do not appear to differ between febrile children with and without seizures in general.
  • A surprising finding was the elevated vitamin A level in older children (over 24 months) with FS.
  • Further research is necessary to validate these findings and elucidate the role of vitamin A in pediatric seizures.
Abstract

Related Concept Videos

Seizures: Classification01:13

Seizures: Classification

Epilepsy is primarily characterized by unpredictable seizures, either provoked by an identifiable factor, such as injury or illness, or unprovoked, occurring spontaneously without apparent cause.
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
413
Antiepileptic Drugs: Modulators of Neurotransmitter Release Mediated by SV2A Protein01:20

Antiepileptic Drugs: Modulators of Neurotransmitter Release Mediated by SV2A Protein

Antiepileptic drugs, such as levetiracetam (Keppra) and brivaracetam (Briviact), have emerged as crucial tools in managing epilepsy. These medications exert their therapeutic effects by targeting the synaptic vesicle protein SV2A, a transmembrane glycoprotein primarily found in the brain.
SV2A is a transmembrane glycoprotein located predominantly in the brain, modulating the release of neurotransmitters for neuronal communication. Both levetiracetam and brivaracetam exhibit a high affinity for...
346
Increased Body Temperature01:25

Increased Body Temperature

A body temperature above  38°C  (100.4 °F) is known as fever or pyrexia, and a person with fever is termed 'febrile.' Typically, the hypothalamus, a part of the brain that acts as the body's thermostat, regulates body temperature through a thermoregulatory setpoint. It receives signals from cold and warm thermal receptors throughout the body and adjusts the body's temperature accordingly. Fever occurs when this hypothalamic setpoint is altered, usually in...
708
Serum Studies: Renal Function Tests01:24

Serum Studies: Renal Function Tests

Renal function tests are crucial for assessing kidney health, monitoring disease progression, and evaluating the kidneys' efficiency in waste elimination, fluid balance, and electrolyte regulation. These tests offer critical insights into kidney function, even though routine measurements may appear normal until there is a significant decline in the glomerular filtration rate or GFR. Typically, signs of kidney impairment only become evident when the GFR falls to about 50% of its normal level.
23
Methods of reducing fever01:22

Methods of reducing fever

The signs and symptoms of fever include hot and dry skin, flushed face, thirst, muscle aches, anorexia, headache, tachycardia, tachypnea, and fatigue. Elevated body temperature is reduced using two methods: pharmacological and nonpharmacological. Proper identification and treatment of the root cause of a fever is of utmost importance.
Pharmacological Methods of Reducing Fever:
701
Arteries of the Lower Limbs01:24

Arteries of the Lower Limbs

Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
214