First seizure in children
DOI:
https://doi.org/10.5377/pediatrica.v6i1.2899Keywords:
Seizures, Seizures Febrile, status epilepticusAbstract
Introduction: Seizures are the most common pediatric neurological emergency. 10% of the population will have a seizure episode at some point in their lives.
Objective: To determine by the causes of the first seizure in children at the Honduran Social Security Institute (I.H.S.S.) in San Pedro Sula during the period between June 2013 and September 2014.
Patients and Methods: A longitudinal descriptive study was conducted. 16930 children attended the emergency area in the described period. The sample were 40 children between 1month to 12 years who attended with their first seizure. Patients were evaluated by a pediatric neurologist or pediatrician.
Results: The age onset of the first seizure was under two years 72.5% (n=29). The main diagnoses were febrile seizure syndrome in 45% (n=18) and epilepsy in 35% (n=14) cases. 19 EEG were obtained, 4 EEG were abnormal. Of the 20 brain scans obteined, five were abnormal. 85% of children were hospitalized due to their first seizure and 65% (n=26) of children recieved oral anticonvulsant therapy.
Conclusions: The population at risk of first seizure are children under two years. The main causes of first seizure are febrile seizures and epilepsy.
Acta Pediátrica Hondureña, Vol. 6, No. 1 April 2015 - September 2015: 392-398
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