AI Summary & Key Takeaways
AI InsightThe mean age of the patients was 4.73 years, and it was significantly lower in patients with febrile seizures when compared to the other groups (p<0.001).Conclusion: Knowing the characteristics of children admitted to the emergency department with a convulsive epileptic seizure is important to guide appropriate management and individualized follow-up.
📌 3 Key Takeaways
Abstract
Introduction: To evaluate the etiology and characteristics of children admitted to the emergency department with an acute convulsive epileptic seizure.Methods: Data of patients who were admitted to the emergency department with a convulsive epileptic seizure were reviewed. The patients were divided into febrile seizure, first idiopathic non-febrile seizure, idiopathic epilepsy, symptomatic epilepsy, and symptomatic seizure groups. Results: A total of 335 children were included in the study. Febrile seizures were the most common cause of convulsive seizure (38.5% of all visits), followed by idiopathic epilepsy-related seizures (35.8%), symptomatic epilepsy-related seizures (8.1%), first non-febrile seizures (17.6%), and symptomatic seizures (1.5%). The mean age of the patients was 4.73 years, and it was significantly lower in patients with febrile seizures when compared to the other groups (p<0.001).Conclusion: Knowing the characteristics of children admitted to the emergency department with a convulsive epileptic seizure is important to guide appropriate management and individualized follow-up.
Özet
Amaç: Çalışmanın amacı acil servise akut konvülzif nöbet ile başvuran çocukların özelliklerini ve etiyolojisini değerlendirmektir. Yöntemler: Acil servise akut konvülzif nöbet ile başvuran hastaların dosyaları geriye dönük olarak incelendi. Hastalar febril nöbet, idiyopatik ilk afebril nöbet, idiyopatik epilepsi, semptomatik epilepsi ve semptomatik nöbet olarak gruplara ayrıldı. Bulgular: Çalışmaya toplam 335 çocuk dahil edildi. İdiyopatik epilepsi ile ilişkili nöbetler (%35,8), semptomatik epilepsi ile ilişkili nöbetler (%8,1), ilk ateşsiz nöbetler (%17,6) konvülzif nöbetlerin en sık görülen nedeniydi (%38,5) ve devamında semptomatik nöbetler (%1,5) izledi. Hastaların ortalama yaşı 4,73 yıl iken, febril nöbet geçiren hastalarda diğer gruplara göre anlamlı olarak daha düşüktü (p<0,001).Sonuç: Acil servise konvülzif epileptik nöbet ile başvuran çocukların özelliklerinin bilinmesi, hastaların uygun yönetimi ve takipleri için önemlidir.