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

Rasool, Akhter; Choh, Suhil A.; Wani, Nisar Ahmad; Ahmad, Sheikh Mushtaq; Iqbal, Qazi

doi:10.4103/1817-1745.97611

Cited by 16 publications

(5 citation statements)

References 20 publications

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“…Our study reflected abnormal EEG in the complex febrile seizures in 2% cases, similar to another study on febrile seizures in children [25][26][27]. Another study reported that 20% of undetermined seizure cases had an abnormal EEG [28]. In our study, 5% of undiagnosed cases and 159 cases of generalized seizure had an abnormal EEG.…”

Section: Discussionsupporting

confidence: 90%

Hospital-Based Prevalence, Electroencephalogram (EEG), and Neuroimaging Correlation in Seizures Among Children in Odisha, India

Das¹,

Paramita²,

Swain³

et al. 2022

Cureus

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Background: Febrile seizures are very common in pediatric practice. We need to differentiate between febrile seizures and other seizures due to central nervous system (CNS) infection by various means of investigation. Though approximately 30% of patients with febrile seizure have later epilepsy and the risk is around 20% even if electroencephalogram (EEG), and neuro-imagings are normal. But data regarding this is laking in developing countries like India.Aim: The primary objective of this study is to determine the hospital-based prevalence among various types and etiologies of seizures in children admitted to the pediatric department in a teaching hospital of a developing country, India. Besides, the different types of seizures were correlated with the EEG and neuroimaging findings along with the acute onset of seizures among children. Conclusion:The study concluded that EEG must be the standard modality of test for patients' diagnosis of seizure in children with seizures. CT/MRI scan can give a better supplement to the results but MRI findings are more accurate in cases of complex febrile seizures.

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Section: Discussionsupporting

confidence: 90%

Hospital-Based Prevalence, Electroencephalogram (EEG), and Neuroimaging Correlation in Seizures Among Children in Odisha, India

Das¹,

Paramita²,

Swain³

et al. 2022

Cureus

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“…In a study by Rasool A et al, found out that abnormal EEG increases the risk of having abnormal neuroimaging but also reported that normal EEG does not rule out having an abnormal neuroimaging. Therefore they concluded that clinical examination and EEG results are good indicators and can be used as one of the criteria for ordering neuroimaging in new-onset seizures, more so in partial than generalized seizure [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Profile and clinical characterization of seizures in hospitalized children

Mwipopo¹,

Akhatar²,

Fan³

et al. 2016

Pan Afr Med J

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IntroductionSeizure is the commonest pediatric neurological disorder, which is frightening to caretakers. The current study aims to determine profile, clinical spectrum and analyze the commonest etiology of seizures in children admitted to a tertiary hospital in Central China.MethodsThis was a hospital based retrospective study carried out in Zhongnan Hospital of Wuhan University, China. Computerized data was collected from January 2012 to May 2015. Variables collected were demographics, clinical presentations and laboratory tests; brain imaging studies, electroencephalography, diagnosis, prognosis, outcome and duration of hospitalization.ResultsA total of 200 patients were admitted with seizures. There were 109 (54.5%) males and 91 (45.5%) females. Among these patients, 193 (96.5%) were aged 1 month to 5 years and 182 (91.0%) presented with seizures and fever. Generalized tonic-clonic seizure was the most common seizure type in 196 (98.0%) children. Febrile seizure was the leading etiology of seizure in 175 (87.5%) children followed by epilepsy in 11 (5.5%) children. There were only 3 (2%) children with central nervous system infections. Abnormal brain images were noted in 10 (20%) out of 50 patients. Among 193 children tested for different infections, 49 (25.4%) had positive results. Viral infections were commonest infections by 49.0%, atypical bacterial 34.7% and 16.3% coinfections.ConclusionSeizure was the commonest neurological condition of children admitted in our hospital, febrile seizures being the commonest etiology. The prognosis and outcomes were good but there were prolonged days of hospitalization. Children with unprovoked seizures require brain-imaging studies for better understanding of seizure etiology.

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“…Every Child presenting with partial seizures must undergo EEG and imaging study like CT scan, as both collectively help in establishing the etiology of partial seizure and thus serves as a reliable guide for appropriate management. 11,12…”

Section: Discussionmentioning

confidence: 99%

Seizure in children: How important is EEG & Neuroimaging?

Agarwalla

2021

PJMS

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Seizure in children are generally indicating a potentially serious underlying systemic or CNS disorders that require thorough clinical examination, investigation and management. It is therefore important to establish accurate diagnosis of seizure and its etiology to manage such patients appropriately. We carried out this study to evaluate different etiology of seizures and its correlation with abnormal EEG & abnormal neuroimaging in the age group of 2mo to 14 years. 200 children presented with seizure to our department from January 2019 to November 2020 were enrolled in this prospective hospital-based study. Detailed history, clinical examination, investigation with special emphasis to EEG & neuroimaging was done and different correlation was drawn by using SSPS 18.0 statistical analysis. Among 200 cases, 6 to 10yr. age group constituted maximum (49%) number of cases. Male to female ratio is 1.5:1. GTCS is the predominant pattern of seizure (60%) in all age groups. EEG abnormality is found in 45%, mostly in focal seizure type. Neuroimaging abnormality found in 29%. Maximum cases (30%) had infectious etiology. Childhood seizure needs detailed history taking and careful examination. Vedio recording shown by parents / caregivers really help towards differentiating seizure from seizure mimics. EEG has a role in specific seizure type; Neuroimaging at times helps in diagnosis. There are few studies that describe neuroimaging [Computed Tomography (CT) and Magnetic Resonance Imaging (MRI)] and Electroencephalogram (EEG) data in children who present with new-onset seizures. The EEG is recommended as a part of the neurodiagnostic evaluation of the child with an apparent first unprovoked seizure.

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

Cited by 16 publications

References 20 publications

Hospital-Based Prevalence, Electroencephalogram (EEG), and Neuroimaging Correlation in Seizures Among Children in Odisha, India

Hospital-Based Prevalence, Electroencephalogram (EEG), and Neuroimaging Correlation in Seizures Among Children in Odisha, India

Profile and clinical characterization of seizures in hospitalized children

Seizure in children: How important is EEG & Neuroimaging?

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