Profile of children admitted with seizures to a tertiary care rural hospital in Mandya district
Abstract
Background: Seizures is one of the common causes of pediatric admissions to hospitals with significant mortality and morbidity. As there is limited data on profile regarding acute seizures episodes form the developing countries this study was undertaken. This study aims to assess the age wise distribution, etiology of seizure, classify seizure types and the outcome in children presenting with seizures to our hospital.
Methods: This is a hospital based prospective study carried out in the Department of Pediatrics, Adichunchanagiri Institute of Medical Sciences, B.G Nagara, Mandya from 1st June 2014 to 31st May 2015. Parameters such as demographics, clinical presentations, laboratory tests, neuroimaging studies, EEG, diagnosis and course in hospital were assessed.
Results: A total of 118 patients were admitted with seizures of which 69 (58.47%) were males and 49 (41.52%) females. Among these patients, 90 (76.27%) presented with fever and 105 (88.99%) children were less than 6 years of age. Generalized seizures were the most common seizure type 81(68.64%). Febrile seizures 57 (48.30%), symptomatic seizures 19(16.1%), seizure disorder 16 (13.55%), and seizures in cerebral palsy 8 (6.8%) were common etiologies.
Conclusions: Acute episode of seizures are one of the commonest cause of hospitalization with high mortality. Febrile convulsions and CNS infections were common causes of seizures in febrile children. Seizures were more common in age 1month to 1year. Neuroimaging should be advised in all afebrile children and in children with partial seizures. CNS infections like meningitis and encephalitis, neurocysticercosis can be prevented with improvement in health care facilities.
Downloads
References
2. Martindale JL, Goldstein JN, Pallin DJ. Emergency department seizure epidemiology. Emerg Med Clin North Am. 2011 Feb;29(1):15–27.
3. Friedman MJ, Sharieff GQ. Seizures in children. Pediatr Clin North Am. 2006 Apr;53(2):257-77.
4. Hauser WA. The prevalence and incidence of convulsive disorders in children. Epilepsia 1994;(2):35.
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. http://www.biomedcentral.com/1471-2431/8/5.
6. Chen CY, Chang YJ, Wu HP. New-onset Seizures in Pediatric Emergency. Pediatr Neonatol. 2010;51(2):103–11.
7. Goldstein JL. Evaluating new onset of seizures in children. Pediatr Ann. 2004;33(6):368–74.
8. Bautovich T, Numa A. Role of head computed tomography in the evaluation of children admitted to the paediatric intensive care unit with new-onset seizure. Emerg Med Australas. 2012;24(3):313–20.
9. Murthy JMK, Yangala R. Acute symptomatic seizures-incidence and etiological spectrum: a hospital-based study from South India. Seizure. 1999;13:162–65.
10. Huang CC, Chang YC, Wang ST. Acute Symptomatic Seizure Disorders in Young Children-A Population Study in Southern Taiwan. Epilepsia. 1998; 13(9):960–64.
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. Allen Hauser W, Beghi E. First seizure definitions and worldwide incidence and mortality, Epilepsia. 2008; 13(1):8–12.
13. Geerts A, Arts WF, Stroink H, Peeters E, Brouwer O, Peters B. Course and outcome of childhood epilepsy: A 15-year follow-up of the Dutch Study of Epilepsy in Childhood. Epilepsia. 2010;13(7):1189–97.
14. Commission on Epidemiology and Prognosis. International League Against Epilepsy. Guideline for epidemiologic studies on epilepsy. Epilepsia. 1993;13:592–96.
15. Academy of Pediatrics. Provisional Committee on Quality Improvement, Subcommittee on Febrile Seizures. Practice parameter. the neurodiagnostic evaluation of the child with a first simple febrile seizure. Pediatr. 1996;13:769–72.
16. Santos MI, Nzwalo H, Monteiro JP, Fonseca MJ. Convulsive status epilepticus in the pediatric emergency department: five year retrospective analysis. Acta Med Port. 2012;25(4):203–06.
Copyright (c) 2015 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
