Clinical pattern of newly-diagnosed seizures in Saudi Arabia: a prospective study of 263 children

Al-Sulaiman, Abdulsalam A.; Ismail, Hassan

doi:10.1007/s003810050441

Cited by 19 publications

(15 citation statements)

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“…Nevertheless, this clearly demonstrates the burden of neurological diseases in our set up. Majority of the patients in our study were male (65%) which is comparable to study done by Al Sulaiman AA et al 7 where in their study they had 153 males out of 263 children. It is notable that majority (79.5%) of our children who had seizure were below fi ve years of age.…”

Section: Discussionsupporting

confidence: 87%

Clinico-etiological profile of children with seizures admitted in a tertiary centre

Rajbhandari

Ojha

2016

J. Kathmandu Med. Coll.

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Background: Seizure is one of the common neurological manifestations and cause of morbidity leading to hospital admission in children. Asserting the causes and types of seizure is vital to management. Objectives: To identify the clinical profi le of children and the characteristics of seizures in them. Methods: This is a descriptive study of 32 months duration and involved analysis of the patient records including the demographics of the patients who presented with seizure. Also, type and duration of seizure were noted. All necessary investigations were done to explore the cause of seizure. Sample size was calculated using raosoft sample size calculator, and the data were entered in microsoft excel. Statistical analysis was done using statistical package for social sciences version 21. Results: Out of the 5229 children admitted, 533 (10.2%) were admitted for seizure. Male accounted for 346 (65%) cases. 424 (79.5%) of the children were below fi ve years. Fever was associated with seizure in 407 (75.5%) cases. Generalized tonic clonic seizure was observed in 436 (81%) children. 37 children (7%) presented in status epileptics. A total of 370 (68.6%) patients were diagnosed as febrile seizure, 86 (16%) epilepsy, 15 (2.8%) cerebral palsy, 13 (2.4%) neurocysticercosis, 13 (2.4%) tubercular meningitis, 12 (2.2%) viral meningitis, 11 (2%) pyogenic meningitis. The mean (standard deviation) duration of hospital stay was 3.3 (±2.84) days. Conclusion: Seizures are common in less than fi ve years of age and febrile seizure is the most common cause of hospital admission. Most of these seizures are generalized in nature.

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Section: Discussionsupporting

confidence: 87%

Clinico-etiological profile of children with seizures admitted in a tertiary centre

Rajbhandari

Ojha

2016

J. Kathmandu Med. Coll.

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“…Also, sometimes in remote and deep epileptic focus EEG can be normal. [10] In our study overall 71 % patients with generalized seizures had EEG abnormalities which was consistent with similar observations made by Al-Sulaiman et al, [14] and Doose et al, [15] in cases of newly diagnosed seizure. On analyzing individual abnormalities in EEG, it was observed that the most common abnormality detected was sharp wave and spikes (either alone or both) as observed by studies conducted by Baheti et al16 and Doose et al [15] However, Shinnar et al, [17,20] Doescher et al, [15] observed a focal slowing as most common EEG abnormality which had predominantly the children with partial seizures.…”

Section: Issn (0): 2347-3363; Issn (P): 2347-3355supporting

confidence: 92%

Role of Electroencephalogram and Neuroimaging in First Afebrile Seizure in Children: A Retrospective Study

Shwetha

Bhat

Soans

2019

AJCPN

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Background:To evaluate the role of EEG and Magnetic resonance imaging (MRI) in first episode of unprovoked afebrile seizure in a child. Subjects and Methods: Data was collected retrospectively from case records of patients admitted with seizures during the period between January 2016 to December 2018. All children with first episode of unprovoked afebrile seizure (1-15 years of age) were included in the study. Results: Case records of 108 patients with first episode of unprovoked afebrile seizures were reviewed . Out of these , 65 patients were investigated with MRI and EEG.54 children (83.1%)had generalized tonic clonic seizures(GTCS), 11 had partial seizures (16.9 %) . EEG abnormalities were seen in 21 children, predominantly in GTCS type. The most common EEG abnormality observed was sharp and spike wave discharges .7 children (10.7 %) had abnormal (MRI). The accuracy of MRI detecting the abnormality when EEG was abnormal was 33.3 % (p < 0.05). Conclusion: This study illustrates that routine neuroimaging for all children with first episode of unprovoked afebrile seizures is gratuitous. Neuroimaging can be reserved for those patients with recurrence of seizures or those children with clinical findings suggestive of intracranial pathologies.

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“…These findings were consistent with similar observations made by Al-Sulaiman et al . [9] and Doose et al . [10] Similar observations were made by Baheti et al .,[11] Jasons et al .…”

Section: Discussionmentioning

confidence: 99%

Role of electroencephalogram and neuroimaging in first onset afebrile and complex febrile seizures in children from Kashmir

et al. 2012

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Objectives:(1) To determine the frequency of abnormal neuroimaging in children with new-onset afebrile and complex febrile seizures; (2) to draw a correlation between Electroencephalogram (EEG) and neuroimaging.Study Design:A hospital-based prospective study.Materials and Methods:A total of 276 children (6 months to 14 years of age), who presented with new-onset afebrile or complex febrile seizures, underwent EEG and neuroimaging [Computed Tomography (CT) and/or Magnetic Resonance Imaging (MRI)].Results:Generalized seizures constituted the major seizure group in our study – 116/276 (42%) – followed by partial seizures 86/276 (31.2%) and complex febrile seizure in 64/276 (23.2%). Generalized as well as partial seizures were more common in children aged 6-14 years, while complex febrile seizures were predominantly seen in children less than 6 years old. Most of the patients with generalized and partial seizures had EEG abnormalities, while EEG abnormalities were uncommon in patients with complex febrile seizures. A total of 27/276 (9.8%) patients with seizure disorder had abnormal CT scans and this abnormality was more common in patients with partial seizures. CT abnormality was seen more commonly in those patients who had an abnormal EEG. EEG and CT correlation showed that patients with abnormal EEG had higher rates of CT abnormality, ie, 16.1% (25/155). Abnormal MRI was seen in 32/157 (20.4%) of patients; accuracy of picking abnormality by MRI, when EEG was abnormal, was 24.8% (P<0.05).Conclusion:Our findings indicate that clinical examination and EEG results are good indicators for neuroimaging, and these can be used as one of the criteria for ordering neuroimaging in new-onset seizures.

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Clinical pattern of newly-diagnosed seizures in Saudi Arabia: a prospective study of 263 children

Cited by 19 publications

References 15 publications

Clinico-etiological profile of children with seizures admitted in a tertiary centre

Clinico-etiological profile of children with seizures admitted in a tertiary centre

Role of Electroencephalogram and Neuroimaging in First Afebrile Seizure in Children: A Retrospective Study

Role of electroencephalogram and neuroimaging in first onset afebrile and complex febrile seizures in children from Kashmir

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