Document Details Document Type : Article In Journal  Document Title : Clinical profile of admitted children with febrile seizures Clinical profile of admitted children with febrile seizures   Document Language : English  Abstract : Febrile seizures are the most common seizure disorder in children younger than 5 years of age. Despite the progress in the understanding of this benign epilepsy syndrome, a wide variation in physician evaluation and management persists. We evaluated the clinical profile, and outcome of children admitted to our institution. A series of 69 consecutive children with febrile seizures were identified by chart review from 1997 to 2001. Clinical, laboratory, EEG, and neuroimaging data were evaluated by one investigator using a structured collection form. The children’s ages ranged between 7-70 months (mean 20, SD 14), and 59.5% were males. The source of the febrile illness was evident in 65%, however, most admitted children (60 out of 69) had atypical seizures (55%), were ill looking (24.5%), had febrile status (17.5%), or positive meningeal irritation signs (4%). Electrolyte abnormalities were uncommon (10%), however, complete blood count (CBC) was abnormal in 45%, which increased the likelihood of receiving IV antibiotics (p=0.01). Lumbar puncture was performed on 75%, particularly those with a first seizure (OR 3.8, 95%CI 0.9-15) or younger than 2 years of age (OR 3.4, 95%CI 0.7-17). Brain CT and electroencephalograms (EEG) were performed in 13% and 33% respectively. Obtaining an EEG was less likely if the seizure was typical (13% versus 50% in atypical, p=0.002). Duration of hospitalization ranged between 1-14 days (mean 4.7, SD 3.2) and only one child had meningitis, which was predicted clinically. Pediatricians are becoming selective in admitting and investigating children with febrile seizures. The children frequently had atypical seizures, status epilepticus, or were ill looking. The yield of investigations remains low and does not justify extensive work-up  ISSN : 1658-3183  Journal Name : Neurosciences  Volume : 10  Issue Number : 1  Publishing Year : 1425 AH 2005 AD  Article Type : Article  Added Date : Saturday, March 22, 2008  Researchers Researcher Name (Arabic) Researcher Name (English) Researcher Type Dr Grade Email نوره خثلان Al-Khathlan, Norah Investigator Doctorate   محمد جان Jan, Mohammed Researcher Doctorate mmsjan@yahoo.ca Files File Name Type Description  Hospital Experience in Febrile Seizures.pdf pdf مشاهدة المقالة العلمية كاملة Back To Researches Page