Etiological study of seizures among paediatric age group (1-18 years) in tertiary care medical college hospital
Abstract
Introduction: Seizure is a common problem evaluated in paediatric emergency departments. A seizure or convulsion is a paroxysmal, time limited change in motor activity and/or behaviour that results from abnormal electrical activity in the brain. In most of the studies, febrile seizures were reported to be the most common type seen in the paediatric population and account for the majority of seizures seen in children younger than 5 years of age. Better understanding of seizures in terms of clinical presentation and etiology is required not only for abortion of acute attack but also for long term control of epilepsy.
Materials and methods: The present descriptive study was conducted in the department of paediatrics Sri Siddhartha medical college, Tumkur.
Results: A total of 70 cases of seizure were admitted, out of which 40(57.1%) were males and 30(42%) were females. Out of these cases 30 (42.9%), cases presented with seizure which were between the age group of 1-3 years followed by 1 month to 1 year 18(26%) cases. Out of the 70 cases, febrile seizures were the commonest cause of convulsions in our study 48(68.5%).
Conclusion: Seizures are the commonest neurological presentation in children worldwide and they bring fear and anxiety to the caretakers. It can be made from our study that most of acute symptomatic seizures are caused by febrile seizures, CNS infections like meningitis and encephalitis, neurocysticercosis which can be prevented with improvement in health care facilities.
Downloads
References
2. Johnston MV. Seizures in children. In: Behrman RE, Jenson HB, Stanton BF, editors. Nelson Textbook of Pediatrics. 20th ed. Philadelphia: Saunders; 2016. p. 2823-2887.
3. Martindale JL, Goldstein JN, Pallin DJ. Emergency department seizure epidemiology. Emerg Med Clin North Am. 2011 Feb; 29(1):15–27. doi: 10.1016/j.emc.2010.08.002. [PubMed]
4. Hauser WA. The prevalence and incidence of convulsive disorders in children. Epilepsia. 1994; 35 (suppl 2): S1–S6. [PubMed]
5. Idro R, Gwer S, Kahindi M. 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.
6. Kalra V. Seizure epilepsy N nonepileptic events. In: Parthasarathy A, Nair MKC, Menon PSN editors. IAP Textbook of Pediatrics. 6th Ed. New Delhi: Jaypee Brothers; 2016. p. 326-44.
7. Jagoda A, Richardson L. The evaluation and treatment of seizures in emergency department. Mt Sinai J Med 1997; 64 (4-5) : 249-59. [PubMed]
8. Chen CY, Chang YJ, Wu HP. New-onset Seizures in Pediatric Emergency. Pediatr Neonatol.2010; 13(2):103–111. [PubMed]
9. Murthy JMK, Yangala R. Acute symptomatic seizures-incidence and etiological spectrum: a hospital -based study from South India. Seizure. 1999; 13: 162–165.
10. Huang CC, Chang YC, Wang ST. Acute Symptomatic Seizure Disorders in Young Children-A Population Study in Southern Taiwan. Epilepsia. 1998; 13 (9) : 960–964.
11. Basu S, Ramchandran U, Thapliyal A. Clinical profile and outcome of pediatric neuro-cysticercosis: A study from Western Nepal. J Pediatr Neurol. 2007; 13:45–52.
12. Rayamajhi A, Singh R, Prasad R, Khanal B, Singhi S. Study of Japanese encephalitis and other viral encephalitis in Nepali children. Pediatr Int. 2007; 13(6):978–984. [PubMed]
13. Arzimanoglou A, Guerinn R, Aicardi J (editors). Febrile convulsions. In :Aicardi’s Epilepsy in children. 3Rd ed. Philadelphia, Lippincott Williams and Wilkins; 2004. p. 210-240.
14. Bhat BV, Verma IC, Puri RK, Srinivasan S, Nalini P. A profile of pyogenic meningitis in children. J Indian Med Assoc 1991;89(8):224-227. [PubMed]
15. Udani V. Pediatric epilepsy – An Indian perspective. Indian J Pediatr 2005; 72 (4) : 309-313.
16. Ellenberg JH, Hirtz DG, Nelson KB. Age of onset of seizures in young children. Ann Neurol 1984;15(2):127-34. 87. [PubMed]
17. Varma RR. Febrile seizures. Indian J Pediatr 2002; 69 (5): 697-700.
18. Huang CC, Chang YC, Wang ST. Acute symptomatic seizure disorders in young children – a population study in southern Taiwan. Epilepsia1998; 39 (9): 960-964.
Copyright (c) 2017 Author (s). Published by Siddharth Health Research and Social Welfare Society
This work is licensed under a Creative Commons Attribution 4.0 International License.
OAI - Open Archives Initiative
