Pseudo-Petit Mal Discharge: A Marker of Favorable Prognosis in Febrile Seizure

Dilber, Beril; Yildiz, Nihal; Kamaşak, Tülay; Arslan, Elif Acar; Şahin, Sevim; Esenulku, Gulnur; Kart, Pınar Özkan; Cansu, Ali

doi:10.54614/archepilepsy.2022.35119

Cited by 2 publications

(3 citation statements)

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“…30 The presence of PPMD on an EEG may suggest the likelihood of RFS, especially in children who have a history of such seizures. 37 Furthermore, PPMD could potentially signal a positive long-term outcome for FS patients regarding their risk of developing epilepsy. Individuals with PPMD did not experience epilepsy, whereas those without this discharge did.…”

Section: Discussionmentioning

confidence: 99%

The Role of Electroencephalography in the Prediction of Relapse of Febrile Convulsion in Patients Aged Between 6 to 60 Months: A Prospective Cohort Study

Amouzadeh,

Mollamohammadi,

Razavi

et al. 2024

Journal of Pediatric Neurology

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Febrile seizures (FS) are the most common type of seizure in pediatrics, and patients with FS can present with recurrent febrile seizures (RFS). Some clinical factors have been known to predict RFS, but there is no consensus regarding electroencephalography (EEG). We aimed to determine the ability of EEG to predict RFS. This prospective cohort study was done in children aged between 6 and 60 months. The EEG was performed on patients 2 weeks after the FS, and the patients were followed up for 6 months. Two hundred patients were enrolled. Recurrence of febrile convulsion occurred in 27% of the patients. A higher risk of recurrent seizures was seen in females compared with males (p = 0.04, hazard ratio [HR] = 1.83), children with a family history of seizure (p = 0.011, HR = 2), people with fever-to-seizure interval <1 hour (p = 0.009, HR = 6.1), as well as 1 to 24 hours interval between fever and seizure (p = 0.033, HR = 2.15), aEnd patients with abnormal EEG findings compared with normal EEG (p = 0.001, HR = 4.45). There was no significant relationship between RFS and other studied factors. This study showed the ability of EEG to predict RFS, and the results showed a higher likelihood of recurrence occurring in subjects with abnormal rather than normal EEG.

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Section: Discussionmentioning

confidence: 99%

The Role of Electroencephalography in the Prediction of Relapse of Febrile Convulsion in Patients Aged Between 6 to 60 Months: A Prospective Cohort Study

Amouzadeh,

Mollamohammadi,

Razavi

et al. 2024

Journal of Pediatric Neurology

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“…EEG could play a role in predicting FS recurrence ( 50 ) or epilepsy development ( 55 ) in patients with FS, while the role of EEG is of limited value in the evaluation of CwG since most EEG findings return to normal during the follow-up period ( 41 ).…”

Section: Electroencephalographic Findingsmentioning

confidence: 99%

“…First, pseudo-petit mal discharge (PPMD) pattern and abnormal EEG have been recently reported as independent risk factors for FS recurrence ( 50 ). Second, PPMD has been reported as a marker of favourable prognosis in terms of epilepsy development, since epilepsy has been diagnosed in patients without PPMD but not in those with PPMD ( 55 ). The value of EEG in patients with complex FS remains controversial ( 57 ), and the absence of epileptiform activity does not exclude seizures ( 58 ).…”

Section: Electroencephalographic Findingsmentioning

confidence: 99%

Febrile seizures and convulsions with mild gastroenteritis: age-dependent acute symptomatic seizures

2023

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BackgroundFebrile seizures (FS) and benign convulsions in children with mild gastroenteritis (CwG) are acute symptomatic seizures, transiently occurring in infants and young children, probably related to the immaturity of the brain. Our paper aims to review the literature data on patients with FS and CwG.MethodsA review of series of patients with FS and CwG was performed by literature search on PubMed January 1960 to October 2022. Several parameters were considered, including epidemiology, pathophysiology, clinical features, electroencephalographic findings and other diagnostic studies, and treatment.ResultsFS and CwG share an age-dependent course, but they show significant differences in the pathophysiology, clinical features, diagnostic studies, and treatment.ConclusionAcute symptomatic seizures include seizures that are caused by acute structural brain pathologies, such as stroke, as well as seizures that are provoked by a reversible factor, such as hyponatraemia, although the two groups should be not equated. Furthermore, FS and CwG should be set apart as “age-dependent acute symptomatic seizures”, reinforcing the concept of their self-limited course over a certain period.

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Pseudo-Petit Mal Discharge: A Marker of Favorable Prognosis in Febrile Seizure

Cited by 2 publications

References 0 publications

The Role of Electroencephalography in the Prediction of Relapse of Febrile Convulsion in Patients Aged Between 6 to 60 Months: A Prospective Cohort Study

The Role of Electroencephalography in the Prediction of Relapse of Febrile Convulsion in Patients Aged Between 6 to 60 Months: A Prospective Cohort Study

Febrile seizures and convulsions with mild gastroenteritis: age-dependent acute symptomatic seizures

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