Is there any need for emergency neuroimaging in children with first complex febrile seizure?
Iranian Journal of Child Neurology,
Vol. 14 No. 3 (2020),
1 July 2020
,
Page 69-76
https://doi.org/10.22037/ijcn.v14i3.18703
Abstract
Objectives:
The current study aimed to assess the need for emergency neuroimaging in children with first CFC.
Materials and methods: This is an analytic cross-sectional study which was conducted on children aged 6 -60 months with first CFS. Data were gathered by a form which assess age, sex, radiology type, temperature, the duration of fever before convulsion, the duration and the frequency of convulsion, family history of febrile seizure. Data were reported by descriptive statistics (mean, standard deviation, frequency, and percent) and analyzed by Fisher Exact Test in SPSS version 19.
Results: In this study, 111 patients with first CFC and mean age of 21.18±11.83 months enrolled. Regarding the type of CFC, results showed that the highest and lowest frequencies belonged to multiple and multiple focal prolonged FC, respectively. Upper respiratory infection was the most common diagnosis. 2 unimportant abnormal neuroimaging results were noted.
Conclusion:
In this study results showed that performing emergency neuroimaging in patients with first CFS was not mandatory in the absence of developmental disorders, abnormal neurologic examination, underlying neurological disorder, and head trauma. This result is more important in our country, according to the lack of access to neuroimaging modalities in many hospitals in our country and due to its irradiation risk in childhood and cost consuming.
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References
RAD AH, Aminzadeh V. Circadian Rhythm and the Seasonal Variation in childhood febrile Seizure. IJCN. 2017; 11 (3), 27-30.
American Academy of Pediatrics. Steering Committee on Quality Improvement and Management, Subcommittee on Febrile Seizures. Febrile seizures: clinical practice guideline for the long-term management of the child with simple febrile seizures. Pediatrics. 2008 Jun;121(6):1281-6.
Paul SP, Seymour M, Flower D, Rogers E. Febrile convulsions in children: Siba Paul and colleagues comment on the pathophysiology and risk factors, in response to an article published this year. Nursing children and young people. 2015 Jun 10;27(5):14-5.
Waruiru C, Appleton R. Febrile seizures: an update. Archives of Disease in childhood. 2004 Aug 1;89(8):751-6.
Fetveit A. Assessment of febrile seizures in children. European journal of pediatrics. 2008 Jan 1;167(1):17-27.
Wanigasinghe J. Management of simple febrile seizures. Sri Lanka Journal of Child Health. 2017 Jun 5;46(2).
Sharma S, Riviello JJ, Harper MB, Baskin MN. The role of emergent neuroimaging in children with new-onset afebrile seizures. Pediatrics. 2003 Jan 1;111(1):1-5.
Teng, D., Dayan, P., Tyler, S., Hauser, W.A., Chan, S., Leary, L. and Hesdorffer, D., 2006. Risk of intracranial pathologic conditions requiring emergency intervention after a first complex febrile seizure episode among children. Pediatrics, 117(2), pp.304-308.
Kimia AA, Ben-Joseph E, Prabhu S, Rudloe T, Capraro A, Sarco D, Hummel D, Harper M. Yield of emergent neuroimaging among children presenting with a first complex febrile seizure. Pediatric emergency care. 2012 Apr 1;28(4):316-21.
Thakker AS, Shetye KA. Neurodiagnostic Evaluation of a Child with First Complex Febrile Seizure. Journal of Krishna Institute of Medical Sciences (JKIMSU). 2016 Apr 1;5(2).
Winkler AS, Tluway A, Schmutzhard E. Febrile seizures in rural Tanzania: hospital-based incidence and clinical characteristics. Journal of tropical pediatrics. 2013 Aug 1;59(4):298-304.
Berzosa LR, Ramos FJ, Martínez AJ, Espinosa FM, Urda CA. Complex febrile seizures: study of the associated pathology and practical use of complementary tests. InAnales de pediatria (Barcelona, Spain: 2003) 2014 Jun (Vol. 80, No. 6, pp. 365-369).
Yücel O, Aka S, Yazicioglu L, Ceran O. Role of early EEG and neuroimaging in determination of prognosis in children with complex febrile seizure. Pediatrics international. 2004 Aug 1;46(4):463-7.
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