Febrile seizures prevalence in children

Shajahan Ra, D. Manuel
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Abstract

Introduction: The prevalence of febrile seizures in children is around 2% to 5% and in general they resolve completely and have excellent prognosis. They necessitate hospital admission so as to rule out other causes of seizures. Aim of the study: To study the prevalence of febrile seizures in children in one month to six years of age. Materials and methods: This was a prospective hospital based observational study in which children aged one month to six years, admitted for febrile seizures were studied. The patient demographics, prevalence of seizures, types of seizures and the likely source of infection was looked for. Results: There were a total of 62 patients in the specified age group. The male to female ratio was 1.5:1. Most number of the cases (50%) were seen in the 1 month to 2 years of age group. Typical febrile seizures (66.1%) were common than the atypical ones (33.8%). History of recurrent seizure was present in 11 (17.7%) cases. Febrile seizures were most common (33.8%) in the cases admitted for upper respiratory tract infections. Conclusion: Simple febrile seizure is a common self-limiting disorder in young children and often has spontaneous resolution. It may recur in a few cases. Patient admission to rule out other causes of seizures, creating awareness in parents and counselling for regular follow up are important.
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儿童热性惊厥患病率
儿童热性惊厥的发生率约为2%至5%,一般情况下可完全缓解,预后良好。他们需要住院,以排除癫痫发作的其他原因。研究目的:研究1个月至6岁儿童热性惊厥的患病率。材料和方法:这是一项基于医院的前瞻性观察性研究,研究对象是因发热性惊厥入院的1个月至6岁儿童。患者的人口统计资料,癫痫发作的患病率,癫痫发作的类型和可能的感染源被寻找。结果:本组共62例患者。男女比例为1.5:1。大多数病例(50%)见于1个月至2岁年龄组。典型热性惊厥(66.1%)多于非典型热性惊厥(33.8%)。11例(17.7%)有反复发作史。在上呼吸道感染病例中,热性惊厥最为常见(33.8%)。结论:单纯性热性惊厥是幼儿常见的自限性障碍,常有自行消退。它可能在少数情况下复发。患者入院以排除癫痫发作的其他原因,提高家长的意识,并为定期随访提供咨询,这些都很重要。
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