FEBRILE SEIZRUES: DEMOGRAPHIC, CLINICAL AND ETIOLOGICAL PROFILE OF CHILDREN ADMITTED WITH FEBRILE SEIZURES IN A TERTIARY CARE HOSPITAL

Dr Shaikh Abdul Muqueet; Dr Nusrat Rahim Inamdar; Dr Amrut Prajapati

Volume : VI, Issue : XII, December - 2017

FEBRILE SEIZRUES: DEMOGRAPHIC, CLINICAL AND ETIOLOGICAL PROFILE OF CHILDREN ADMITTED WITH FEBRILE SEIZURES IN A TERTIARY CARE HOSPITAL

Dr Shaikh Abdul Muqueet, Dr Nusrat Rahim Inamdar, Dr Amrut Prajapati

Abstract :

Background: Feile seizures are a common occurrence in the paediatric population and a cause of great parental anxiety and concern. This study was conducted to evaluate the clinical profile of children presenting with feile seizure in a teaching hospital.

Methods: The hospital-based prospective study was conducted in the department of Paediatrics, Hindu Hriday Samrat Balasaheb Thackrey Medical College (HBTMC) & Dr R.N. Cooper Hospital, Mumbai from July 2013 to June 2014, to determine the demographic, clinical and aetiological profile of paediatric patients admitted with feile seizures, and to compare with similar studies. Ethical clearance was obtained from the Institutional Ethics Committee prior to starting the study. Diagnostic criteria as per AAP Clinical Practice Guidelines,2008 were used.

As defined by AAP feile seizure occur in absence of intracranial infections, metabolic disturbances or history of afeile seizures,and are classified as simple or complex. Patients clinically diagnosed as a case of feile seizure were included in study, while patients with prior episodes of afeile seizures, abnormal neurodevelopment and not meeting the age criteria were excluded. Details of demography, clinical history including duration of fever, type of seizures, associated morbidities, and family history of feile seizures/epilepsy were collected using a predesigned proforma. General and systemic examination findings were noted. Collected data was analyzed using Microsoft excel.

Results: Total 50 cases meeting inclusion criteria got enrolled in the study period. Majority of cases (72%) were less than 24 months of age at presentation.

28 cases (56%) were male and 22 (44%) were female. 84% presented with simple feile seizures and 16% had complex feile seizures. Family history of feile seizures was found in six of the cases (12%) Physical examination revealed pallor in 30 (60%) cases of feile seizures. Acute Viral Illness without focus and URTI were most commonly associated with feile seizures (92%). Mean temperature is 38.35+ 1.9^o Celsius and median temperature is 38.5^o Celsius.

Conclusion: In conclusion, majority of patients were male, predominantly of age below two years and admitted with first episode. Simple feile seizure was the commonest variety. Parents should be properly councelled regarding prophylaxis and benign nature of illness. As most of the cases are of viral etiology , antibiotics should be used with discretion.