Unprovoked seizures in children with complex febrile convulsion; short-term outcome.
10.3345/kjp.2007.50.8.757
- Author:
Ji Yeon CHOI
1
;
Eun Jung CHEON
;
Young Hyuk LEE
Author Information
1. Department of Pediatrics, College of Medicine, Konyang University, Daejon, Korea. koojook@medimail.co.kr
- Publication Type:Original Article
- Keywords:
Complex febrile convulsion;
Epilepsy
- MeSH:
Child*;
Epilepsy;
Humans;
Medical Records;
Neurologic Examination;
Parents;
Retrospective Studies;
Seizures*;
Seizures, Febrile*
- From:Korean Journal of Pediatrics
2007;50(8):757-760
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Febrile convulsions (FC) were considered to be a benign seizure syndrome that is distinct from epilepsy. But it is thought that children with complex features i.e., partial or prolonged seizures or multiple episodes of FC would bear a higher risk of developing unprovoked seizures. The aim of this study is to look into the relative significance of each criteria that define complex febrile convulsions (CFC) as a predictor of subsequent epilepsy. METHODS: All children were retrospectively identified for a febrile seizure through pediatric departments of the Konyang University Hospital. Information was collected from medical records and interviews with parents. Patients with abnormal neurological examinations at presentation were excluded. RESULTS: This study was performed from March 2000 to December 2003. Sixty-three out of 314 children (20.0%) with febrile convulsion fulfilled the criteria for CFC and forty-four children of them have been followed for 12 months or more. Ten of these (23.2%) had unprovoked seizures for 14-62 months (median 34.2+/-11.6 months). The patients with partial FC showed a trend toward a higher risk (57.1%) of developing epilepsy than the patients with multiple or prolonged febrile convulsions (26.7%, 24.1% respectively). CONCLUSION: We found that the partial feature of febrile convulsion is associated with subsequent epilepsy.
