CLINICAL AND PARACLINICAL CHARACTERISTICS OF SEIZURE IN CHILDREN FROM 2 - 60 MONTHS OLD AT THE DEPARTMENT OF EMERGENCY AND POISON CONTROL, VIETNAM NATIONAL CHILDREN'S HOSPITAL

Thị Uy Nguyễn , Thị Huế Hoàng, Anh Vinh Ngô, Ngọc Duy Lê

Main Article Content

Abstract

Objectives: To describe the clinical and paraclinical characteristics of seizure in children from 2 months to 60 months old at the Department of Emergency and Poison Control, Vietnam National Children's Hospital. Methods: A prospective, descriptive, and cross-sectional study on 200 seizure patients hospitalized at the Department of Emergency and Poison Control. Results: The age group 12 - 36 months accounted for the majority at 61.5%, with an average age of 22.7 ± 13.3 months. Males are affected more than females. Most seizures occurred at temperatures ranging from 38.5 - < 39° C.  Seizures mainly last from 1 - 5 minutes, accounting for 72.5%. Most cases are first-time occurrences, accounting for 66.5%, and mainly generalized seizures (94%). Febrility is the most common cause of seizures (accounting for 60%), followed by epilepsy (21%). 38.3% of cases present with abnormal images on the electroencephalogram. Conclusion: Seizures are most common in the age group of 1 to 3 years old and more common in males than females. The main characteristic of seizures is generalized seizures. Febrility is the most common cause of seizures; abnormal images on the electroencephalogram account for a significant proportion (38.3%).

Article Details

References

1. Agarwal M, Fox SM. Pediatric seizures. Emergency Medicine Clinics of North America. 2013; 31(3):733-754.
2. Chun-Yu Chen, Yu-Jun Chang, Han-Ping Wu, et al. New-onset seizures in pediatric emergency. Pediatrics & Neonatology. 2010; 51(2):103-111.
3. Rivas-García A, Ferrero-García-Loygorri C, Carrascón González-Pinto L, et al. Simple and complex febrile seizures: Is there such a difference? Management and complications in an emergency department. Neurologia (Engl Ed). 2019; 53(9):317-324.
4. Dua H, Edbor A, Kamal S. Spectrum of seizure disorder in children between 1-18 years age at a tertiary care hospital: A longitudinal study. Pediatric Review - International Journal of Pediatric Research. 2020; 7(1):67-70.
5. Doumbia A, Koné O, Dembélé G. Seizures in children under five in a pediatric ward: Prevalence, associated factors and outcomes. Open Journal of Pediatrics. 2021; 11(4):627-635.
6. Chandini P, Siva Ramakrishna Y, S Raju M. Etiological evaluation of convulsions in children between 1 month to 5 years of age in tertiary care hospital, Guntur. International Journal of Contemporary Medical Research ISSN. 2019; 6(7):112-116.
7. Mamillapalli B, Penchalaiah A. Etiological evaluation of convulsions in children between 1 month to 5 years of age. International Journal of Contemporary Pediatrics. 2017; 4(5):1811-1816.
8. Sartori S, Nosadini M, Tessarin G, et al. First-ever convulsive seizures in children presenting to the emergency department: Risk factors for seizure recurrence and diagnosis of epilepsy. Developmental Medicine and Child Neurology. 2019; 61(1):82-90.
9. Adan G, Nevitt SJ, Pullen A, Sander JW, et al. Prognosis of adults and children following a first unprovoked seizure. Cochrane Database of Systematic Reviews. 2023; 1(1):CD013847.
10. Kyung A Jeong, Myung Hee Han, Eun Hye Lee, et al. Early postictal electroencephalography and correlation with clinical findings in children with febrile seizures. Korean Journal of Pediatrics. 2013; 56(12):534-539.