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Clinical Profile of Seizures in Children between 1 Month to 12 Years of Age Admitted to Tertiary Care Center

Dahyalkar Amol A., Assistant Professor, Department of Pediatrics, Govt. Medical College, Aurangabad, Maharashtra 431001, India. , Khaire Prabha B.* , Dahyalkar Amol A.* , Khalid Summaiya** , Pawar Shilpa Y.* , Kachhap Rashmi R.*** , Patil Prashant S.****

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International Journal of Neurology and Neurosurgery 9(2):p 98-103, Jul-Dec 2017. | DOI: http://dx.doi.org/10.21088/ijnns.0975.0223.9217.4

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Abstract

Background: A seizure is a paroxysmal involuntary disturbance of brain functions. Seizures are broadly divided into generalized and partial seizures. Generalized tonicclonic seizures are the most common type of seizures in childhood. Aim: To study the clinical profile and probable etiology of children presenting with seizures. Material And Methods: A Prospective observational study in tertiary care during February 2013 to 2016. A total of 527 cases presenting with seizures between 1 month and 12 years of age were included. A detailed history with demographic details and clinical examination were noted in a preformed structured proforma. Results: Generalized Tonic Clonic 214 (62.02%) was the most common type of seizure type followed by generalized tonic 111 (32.17%) and myoclonic 08 (2.31%). Simple partial seizure was the most common type observed in 110 (60.4%) patients followed by complex partial seizure 58 (31.8%) and complex partial seizures with secondary generalization in 14 (7.69%) patients. Most common symptom apart from seizure was fever in 381 (72.2%) patients and etiology for seizure was febrile seizures in 204 (38.7%) followed by acute symptomatic seizures 178 (33.77%). The most common etiology was acute bacterial meningitis in 71 (39.88%) ,viral encephalitis 53 (29.77%), tubercular meningitis 28 (15.73%). Conclusion: Febrile seizures and CNS infections are common causes of seizures in febrile children. Neuroimaging should be advised in all patients with partial and afebrile seizures.

Keyword: Seizure; Febrile; CNS Infections. 

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DOI: http://dx.doi.org/10.21088/ijnns.0975.0223.9217.4

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