CLINICAL STUDY OF FIRST EPISODE FEBRILE SEIZURE IN CHILDREN UNDER 5 YEARS FROM NORTH INDIA WITH SPECIAL EMPHASIS ON CT SCAN AND EEG FINDINGS: A PROSPECTIVE OBSERVATIONAL STUDY

Dr. Amit Shukla, Dr. Namita Mishra

Abstract


Objective: To study the clinical characteristics and analyze role of EEG and CT scan in children with rst febrile seizures
Methods: It was a prospective observational study conducted between July 2013 to December 2014. Children between 1
month to 5 years with rst febrile seizures were enrolled. Clinical data was recorded in a proforma. Hemogram and EEG were done in all patients.
Lumbar puncture was done in eligible children and CT scan was done in patients with abnormal neurological status.
Result: 50 children were analyzed. The mean age of children was 19.5 months. M:F ratio was 2.1:1. Upper respiratory tract infections were the
most common cause of fever. 92% children had simple seizure.6 children had family history of febrile seizures. Of the children in whom
hemoglobin levels were <7 (9), 6 children had complex febrile seizure and 3 had simple febrile seizure. EEG ndings were normal in 68%
children. Amongst the children with abnormal EEG, 75% did not have any recurrence. Lumbar puncture was done in 25 children and all had
normal ndings. CT scan was done in 3 children and ndings were normal in all.
Conclusion: Febrile seizures are usually self limiting. Most of the patients with febrile seizure with anemia had complex seizure. Investigations
including CSF analysis, EEG and neuroimaging should not be routinely done and should be individualized on case to case basis.


Keywords


Febrile seizures; EEG; CT scan

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