Study on Etiological Evaluation of Convulsions in Children from 1 Month to 14 Years of Age

S. Ramesh, S. Sundari
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Abstract

Background: Seizures are a prevalent condition seen in Pediatric emergency departments all around the world. Objective: The aim of this study was to investigate the etiology of convulsions in children aged 1 month to 14 years. Methods: Between June 2014 and May 2015, 120 children admitted to a tertiary care hospital's paediatric department with convulsions were studied in this cross-sectional study.All of the children had a complete blood count, blood sugar, serum calcium, magnesium, and electrolytes checked. Depending on the clinical circumstances, Mantoux, chest X-ray, liver biopsy, Electroencephalography, lumbar puncture and cerebrospinal fluid analysis, ultrasonography cranium, computed tomography brain, or magnetic resonance imaging brain was performed.  Results: We discovered that 46.7% of the children had febrile seizures, 19.2% had a seizure disorder, 15% had cerebral palsy, 5.8% had viral encephalitis, 3.3% had pyogenic meningitis, 1.7% had neurocysticercosis, 0.8% had metabolic disorders, and 0.8% had a traumatic brain injury, with the cause of seizures unknown in 6.6% of the children. Conclusion: Seizures in children require a thorough examination to determine the underlying pathology that is causing the seizures.
1个月~ 14岁儿童惊厥病因评价的研究
背景:癫痫是世界各地儿科急诊科常见的一种疾病。目的:探讨1个月至14岁儿童惊厥的病因。方法:对2014年6月至2015年5月在某三级医院儿科就诊的120例惊厥患儿进行横断面研究。所有的孩子都进行了全血细胞计数、血糖、血清钙、镁和电解质的检查。根据临床情况,可进行曼图、胸片、肝活检、脑电图、腰椎穿刺和脑脊液分析、颅脑超声、计算机断层扫描或磁共振成像。结果:46.7%的患儿有发热性癫痫发作,19.2%有癫痫发作障碍,15%有脑瘫,5.8%有病毒性脑炎,3.3%有化脓性脑膜炎,1.7%有神经囊虫病,0.8%有代谢障碍,0.8%有外伤性脑损伤,6.6%患儿癫痫发作原因不明。结论:儿童癫痫发作需要彻底检查,以确定引起癫痫发作的潜在病理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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