Utilité de la ponction lombaire lors de la première convulsion fébrile chez l’enfant de moins de 18 mois. Étude rétrospective de 157 cas

Casasoprana, A; Camus, Celine; Claudet, I.; Grouteau, E.; Chaix, Yves; Cancés, Claude; Karsenty, Clément; Cheuret, Emmanuel

doi:10.1016/j.arcped.2013.03.022

Cited by 14 publications

(12 citation statements)

References 27 publications

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“…This is, however, significantly higher (p<0.05) than the previously reported national incidence of 12 in 10,000, but it is up for debate whether this is enough difference to merit a higher index of suspicion of meningitis in patients with febrile seizures. In the study done by Casasoprana et al, their reported incidence of bacterial meningitis was much higher than this study, at 1.9% among patients with febrile seizures [20]. In the studies done by Fletcher and Sharieff and Kimia et al where discrimination between simple and complex febrile seizures was done and only patients with complex febrile seizures were included, the reported incidence among the total population in those studies was 0.5% and 0.57%, respectively [21,22].…”

Section: Discussioncontrasting

confidence: 48%

“…Kimia et al reported a higher rate of 65%, and Fletcher et al reported a similar rate of 70.5% [21,22]. It is important to note, however, that both Kimia et al and Fletcher et al only included patients with complex febrile seizures in their studies, while the study done by Casasoprana et al -similar to our study-did not make a distinction between the two types of seizures [20][21][22]. One limitation of our figure is that we could not account for the frequency of patients who were offered lumbar puncture but refused; this is an important note to stress as a recent multicenter study done in Saudi Arabia reported a 44.3% refusal rate by parents who were offered lumbar puncture for their children for suspicion of meningitis [26].…”

Section: Discussionsupporting

confidence: 47%

“…The distinction between the two types of febrile seizures is important, as reported by Casasoprana et al, there was a significant difference between simple and complex febrile seizures regarding the risk of having a serious central nervous system infection (bacterial meningitis or encephalitis) in patients with complex febrile seizures when compared to simple febrile seizures (14% versus 0%) [20]. A recent meta-analysis reported less disparity between the two types of febrile seizures (0.2% versus 0.6%) [25].…”

Section: Discussionmentioning

confidence: 91%

“…Lumbar puncture was performed on 108 out of 1408 patients (7.67%); this rate is definitely lower than previously reported rates in other recent studies. Casasoprana et al reported that 40% of patients with febrile seizures were subjected to lumbar puncture in Toulouse, France [20]. Kimia et al reported a higher rate of 65%, and Fletcher et al reported a similar rate of 70.5% [21,22].…”

Section: Discussionmentioning

confidence: 99%

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Incidence of Meningitis in Patients Presenting With Febrile Seizures

El-Dardear

Alhejaili

Alharbi

et al. 2020

Cureus

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Introduction: Febrile seizures are very commonly encountered in the setting of the pediatric emergency department; it represents 72.2% of seizures presenting to the pediatric emergency department in Saudi Arabia and affects about 3-8% of children. Febrile seizures are usually benign and treated conservatively. This is in contrast to bacterial meningitis, which carries a fatality rate of 14.4%. Meningitis presents with seizures in 23% of cases. Differentiation between febrile seizures and meningitis is therefore of utmost importance to avoid poor outcomes. On the other hand, this may cause many patients with febrile seizures to get exposed to unnecessary invasive testing. This study aims to define the incidence of meningitis in patients with febrile seizures and the proportion of these patients who undergo invasive lumbar puncture. Methods: This retrospective cross-sectional study was conducted at the Maternity and Children's Hospital in Madinah, Saudi Arabia. All patients presenting with febrile seizures in the period between January 2015 and June 2019 were covered. Patients' data were gathered from the hospital database and files. Descriptive analysis was performed using SPSS. Results: A total of 1375 patients were studied, with a male-to-female ratio of 1.44:1. The median age of the sample was 24 months (interquartile range: 13 - 42). Lumbar puncture was done for 108 (7.67%) of them. Only nine patients (8.3%) had meningitis, while the other 99 (91.7 %) had no meningitis. Conclusion: Febrile seizures are a common disease among children. The distinction between febrile seizures and meningitis is paramount to avoid poor outcomes. Bacterial meningitis is rare among patients with febrile seizures. The clinical judgement remains the cornerstone in deciding which patients should undergo invasive testing.

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Section: Discussioncontrasting

confidence: 48%

Section: Discussionsupporting

confidence: 47%

Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

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Incidence of Meningitis in Patients Presenting With Febrile Seizures

El-Dardear

Alhejaili

Alharbi

et al. 2020

Cureus

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“…There are no routine laboratory tests needed, but a check of electrolytes and blood sugar levels might be warranted, especially with a gastroenteritis illness. CSF studies should be considered for the youngest age group (less than 18 months old), as definitive signs of CNS infections are often difficult to judge [ 21 ]. Neuroimaging studies are reserved for patients with a history of trauma or unusual residual neurological manifestations [ 22 ].…”

Section: Historical Milestonesmentioning

confidence: 99%

Febrile Seizures and Febrile Seizure Syndromes: An Updated Overview of Old and Current Knowledge

Khair

Elmagrabi

2015

Neurology Research International

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Febrile seizures are the most common paroxysmal episode during childhood, affecting up to one in 10 children. They are a major cause of emergency facility visits and a source of family distress and anxiety. Their etiology and pathophysiological pathways are being understood better over time; however, there is still more to learn. Genetic predisposition is thought to be a major contributor. Febrile seizures have been historically classified as benign; however, many emerging febrile seizure syndromes behave differently. The way in which human knowledge has evolved over the years in regard to febrile seizures has not been dealt with in depth in the current literature, up to our current knowledge. This review serves as a documentary of how scientists have explored febrile seizures, elaborating on the journey of knowledge as far as etiology, clinical features, approach, and treatment strategies are concerned. Although this review cannot cover all clinical aspects related to febrile seizures at the textbook level, we believe it can function as a quick summary of the past and current sources of knowledge for all varieties of febrile seizure types and syndromes.

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Febrile Seizures

Quvile¹,

Wilmshurst²

2020

Clinical Child Neurology

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Utilité de la ponction lombaire lors de la première convulsion fébrile chez l’enfant de moins de 18 mois. Étude rétrospective de 157 cas

Cited by 14 publications

References 27 publications

Incidence of Meningitis in Patients Presenting With Febrile Seizures

Incidence of Meningitis in Patients Presenting With Febrile Seizures

Febrile Seizures and Febrile Seizure Syndromes: An Updated Overview of Old and Current Knowledge

Febrile Seizures

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