Clinical Review of the Development Epilepsy in Patients with Febrile Seizure.
- Author:
Hee Joo HONG
1
;
Min Woo KIM
;
Hyun Joo LEE
;
Sa Jun CHUNG
;
Ui Hyun CHO
Author Information
1. Department of Pediatrics, Colleage of Medicine, Kyung-Hee university, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Febrile seizure;
Epilepsy
- MeSH:
Child;
Diagnosis;
Electroencephalography;
Epilepsy*;
Epilepsy, Generalized;
Female;
Humans;
Incidence;
Male;
Nervous System Diseases;
Pediatrics;
Prospective Studies;
Seizures;
Seizures, Febrile*
- From:
Journal of the Korean Child Neurology Society
2001;9(2):387-392
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Febrile seizure is a common neurological disorder in children and it has been reported that it may progress to epilepsy in a few cases. We have set forth to carry out a prospective study of patients who developed epilepsy after febrile seizures to determine their clinical characteristics. METHODS: The subjects of this research were 104 patients who met WHO's definition of epilepsy after at least 6 months had passed since their first seizure of the 612 patients admitted to the pediatrics department of Kyung-hee Medical Center during 5 years from January of 1993 to January of 1998 for their first febrile seizure. Epilepsy was categorized as epileptic seizure according to ILAE(1981). RESULTS: 1) The incidence of epilepsy was highest in children from 3 years to 5 years. 2) Of 104 children who developed epilepsy, 60 children were males and 44 were females. 3) Of children who eventually developed epilepsy, 37% of them had the family history of seizure. 4) Of 612 cases of first attack febile seizure, generalized tonic-clonic type was the most frequent type and at the time of diagnosis of epilepsy, generalized tonic-clonic type was also the most frequent type. 5) The abnormal EEG findings are found in 95% of children who developed epilepsy. CONCLUSIONS: We observed the clinical characteristics of patients who developed epilepsy after febrile seizures, but we feel that continuous research is necessary in establishing a correlation between the two disorders.
