Febrile convulsions in preschool children Kashmir India

Authors

  • Suhail Ahmad Naik Department of Pediatrics, GB Pant Hospital, Government Medical College, Srinagar, Kashmir, India
  • Muzafar Ahmad Jan Department of Pediatrics, GB Pant Hospital, Government Medical College, Srinagar, Kashmir, India
  • Wasim A. Rafiq Department of Pediatrics, GB Pant Hospital, Government Medical College, Srinagar, Kashmir, India
  • Syed Tariq Ahmad Department of Pediatrics, GB Pant Hospital, Government Medical College, Srinagar, Kashmir, India
  • Mudasir Maqbool Department of Pediatrics, GB Pant Hospital, Government Medical College, Srinagar, Kashmir, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20150529

Keywords:

Febrile convulsions, Typical febrile convulsions, Atypical febrile convulsions, Kashmir India

Abstract

Background: Febrile convulsions are the most common cause of convulsions in children under five years of age. Objective of current study was to know the incidence, age and sex distribution of febrile convulsions in preschool children Kashmir India.  

Methods: A prospective hospital based study, carried out in the Department of Pediatrics, G.B. Pant Hospital, Government Medical College and Research Institute, Srinagar India from 1 July 2009 to 30 June 2010. All the hospitalized sick children who had febrile convulsions in the age group 1 month to 6 years of the age between 1 July 2009 to 30 June 2010. All children with febrile convulsions in the age group 1 month to 6 years were enrolled in this study. Variables recorded were demographics, clinical presentation, laboratory tests, and diagnosis and hospital course.  

Results: A total of 897 children in the age group 1 month to 6 years were admitted for recent seizures. Among these patients 545 (60.7%) had febrile convulsions. Among Febrile convulsions, 379 had typical febrile convulsion and 166 atypical febrile convulsions. Febrile convulsions were more common in males (308) than females (237). Febrile convulsions were more common in first three years of life.  

Conclusions: Febrile convulsions were the commonest cause of convulsions in children under five years of age and majority of them occurred in first two years of life. Typical febrile convulsion were common than atypical febrile convulsions. 

References

Alexander K.C. Leung, W. Lane M. Robson. Febrile seizures. Epilepsia. 2007;21:250-5.

Anne T. Berg. Febrile seizures and epilepsy: the contributions of epidemiology. Paediatr Perinatal Epidemiol. 1992;6:145-52.

Michael V. Johnston. Seizures in childhood. In: Robert M. Kliegman, Richard E. Behrman, Hal B. Jenson, Bonita M.D. Stanton, Basil J. Zitelli, Holly W. Davis, eds. Nelson Text Book of Pediatrics. 18th ed. Philadelphia: Saunders; 2007: 2457-2470.

Nelson KB, Ellenberg JH. Predictors of epilepsy in children who have experienced febrile seizures. New Engl J Med. 1976;295:1029-33.

Sadier LG, Scheffer IE. Febrile Seizure. BMJ. 2007;334:307-11.

Loddenkemper T, Kellinghaus C, Wyllie E, Najm IM, Gupta A, Rosenow F. A proposal for a five-dimensional patient-oriented epilepsy classification. Epileptic Disord. 2005 Dec;7(4):308-16.

Luders H, Acharya J, Baumgartner C, Benbadis S, Bleasel A, Burgess R, et al. Semiological seizure classification. Epilepsia. 1998 Sep;39(9):1006-13.

Hauser WA. The prevalence and incidence of convulsive disorder in children. Eplepsia. 1994;35(Suppl 2):S1-6.

Guerrini R. Epilepsy in children. Lancet. 2006;367:499-524.

Offringa M, Bossuyt PM, Lubsen J, Ellenberg JH, Nelson KB, Knudsen FU, et al. Risk factors for seizure recurrence in children with febrile seizures: a pooled analysis of individual patient data from five studies. J Pediatr. 1994;124:574-84.

Stanhope JM, Brody JA, Brink E, Morris CE. Convulsions among the Chamorro people of Guam, Mariana Islands. II. Febrile convulsions. Am J Epidemiol. 1972 Mar;95(3):299-304.

Forsgren L, Sidenvall R, Blomquist HK, Heijbel J. A community-based prospective incidence study of epileptic seizures in children. Acta Pædiatrica. 1993;82:62-5.

Wei Ling LEE, Poh Sim, Belinda, Uma Rajan. Epidemiology of febrile seizures in Singapore children. Neurol J Southeast Asia. 1996;1:53-5.

Shinnar S, Glauser TA. Febrile seizures. J Child Neurol. 2002 Jan;17(Suppl 1):S44-52.

Takayuki Tsuboi. Epidemiology of febrile and afebrile convulsions in children in Japan. Am Acad Neurol. 1984;34:175.

Tahir Saeed Siddiqui. Febrile convulsion In children: Relationship of family history to type of convulsion and age of presentation. Pak Pediatr J. 2004;xii(2):73-81.

Downloads

Published

2017-01-06

Issue

Section

Original Research Articles