CLINICO-ETIOLOGICAL PROFILE OF CONVULSIONS IN CHILDREN AMONG ONE MONTH TO 18 YEARS OF AGE AT TERTIARY CARE CENTER JAIPUR, RAJASTHAN
DOI:
https://doi.org/10.22159/ajpcr.2022.v15i5.44532Keywords:
Epilepsy, Seizure, Convulsion, Clinical profileAbstract
Objectives: The objectives of this were to study the clinico-etiological profile of convulsions in children aged 1 month to 18 years, to analyze the types of seizures and their categorization according to age, cause, type, and symptoms and signs associated with convulsion.
Methods: This was a cross-sectional hospital-based observational study conducted in the Department of Pediatrics, SPMCHI hospital, SMS Medical College, Jaipur, India for a period of January 2019–November 2020 on subjects of age group from 1 month to 18 years. All participants were thoroughly examined by complete history taking and investigated with complete blood counts, metabolic screening, lumbar puncture and CSF analysis, electroencephalography, CT scan, and MRI as and when required.
Results: Occurrence of convulsions was more in male gender (60.5%), with highest 226 (56.5%) in the age group between 1 month and <5 years, whereas lowest was found between age 10 and 18 years 59 (14.9%).
Conclusion: The incidence of convulsions was highest in the younger age group, with generalized tonic-clonic seizure being the most common type. Febrile convulsion was the most common etiology. About one-third had abnormal MRI finding, whereas more than two-third of performed patients had abnormal EEG finding.
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Verma A, Kunju PA, Kanhare S, Maheshwari N. IAP Textbook of Pediatric Neurology. New Delhi: Jaypee Brothers Medical Publishers (p) Ltd.; 2014. p. 112.
Friedman MJ, Sharieff GQ. Seizures in children. Pediatr Clin North Am 2006;53:257-77. doi: 10.1016/j.pcl.2005.09.010, PMID 16574525
Hauser WA, Kurland LT. The epidemiology of epilepsy in Rochester, Minnesota, 1935 through 1967. Epilepsia 1975;16:1-66. doi: 10.1111/ j.1528-1157.1975.tb04721.x, PMID 804401
Sridharan R, Murthy BN. Prevalence and pattern of epilepsy in India. Epilepsia 1999;40:631-6. doi: 10.1111/j.1528-1157.1999.tb05566.x, PMID 10386533
Hauser WA. The prevalence and incidence of convulsive disorders in children. Epilepsia 1994;35 Suppl 2:S1-6. doi: 10.1111/j.1528- 1157.1994.tb05932.x, PMID 8275976
Provisional Committee on Quality Improvement, Subcommittee on Febrile Seizures. Practice parameter. The neurodiagnostic evaluation of the child with a first simple febrile seizure. Am Acad Pediatr Pediatr 1996;97:769-72.
Idro R, Gwer S, Kahindi M, Gatakaa H, Kazungu T, Ndiritu M, et al. The incidence, aetiology and outcome of acute seizures in children admitted to a rural Kenyan district hospital. BMC Pediatr 2008;8:5. doi: 10.1186 / 1471-2431-8-5, PMID 18261215
Fisher RS, van Emde Boas W, Blume W, Elger C, Genton P, Lee P, et al. Epileptic seizures and epilepsy: Definitions proposed by the International League Against Epilepsy (ILAE) and the International Bureau for Epilepsy (IBE). Epilepsia 2005;46:470-2. doi: 10.1111/j.0013-9580.2005.66104.x, PMID 15816939
Prasad M, Prashant M, Rohit B, Kinjal D, Shainy C. Clinico-etiological profile of convulsions in children amongst 1 month to 18 years of age. Natl J Integr Res Med 2017;8:91-5.
Alakkodan D. A clinical profile and diagnostic management of first-time seizures in children aged 1-12 years – A tertiary hospital-based study in Kerala. Int J Sci Stud 2018;6:24-30.
Rai A, Das SK, Karmakar BC. A study on clinico-etiological profile of infants presenting with first episode of seizure in tertiary care hospital. J Evol Med Dent Sci 2019;8:1852-7. doi: 10.14260/jemds/2019 / 407
Hirtz D, Ashwal S, Berg A, Bettis D, Camfield C, Camfield P, et al. Practice parameter: Evaluating a first nonfebrile seizure in children: Report of the quality standards subcommittee of the American Academy of Neurology, The Child Neurology Society, and The American Epilepsy Society. Neurology 2000;55:616-23. doi: 10.1212/ wnl.55.5.616, PMID 10980722
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Copyright (c) 2022 Varun, Vijay Agrawal, Vijendra Garg, Sharad Bansal, J.N. Sharma
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