Abstract
A retrospective study of 254 hospitalized children with febrile seizure was carried out between January 1998 to December 2002. The mean age of the children was 1.5 years (18 months) the peak age incident was between 0.6 and 1.75 years (7 to 21 months).
The male female ratio was 1.16:1. The mean temperature was 39.15 °C with a minimum of 38 °C and a maximal temperature of 41°C. There was a history of birthweight less than 2500 gr in 16 patients (6.3%), positive family history of epilepsy in 14.6% and family febrile convulsions in 10.2%. Simple febrile seizure was seen in 42.1% and complex seizure in 57.9%.
Upper respiratory tract infection was the commonest triggering factor diagnosed in 37.4% followed by gastroenterocolitis in 33.5%. Lumbar puncture was done in 55.9%, electroencephalogram in 22.4%, Neuroimaing studies like Computerized Axial Tomography in 7.1% and Nuclear Magnetic Resonance in 0.8%. The most anticonvulsivant drug used during febrile seizure was intravenous diazepam in 40.6%. A 48 % of patients received long term treatment being the most used valproic acid, phenytoin and phenobarbital. The Odds ratio(OR) for complex febrile seizure compared to simple febrile seizure was significative with birthweight less than 2500 gr ( OR 0.31 CI 0.10, 0.91) and anterior seizure episode (OR 2.11 CI 1.15, 3.87)
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Ballón, A., Chalco, J. 20 Clinical Characteristics of Hospitalized Children with Febrile Seizure. Child Health Institute. Pediatr Res 57, 923 (2005). https://doi.org/10.1203/00006450-200506000-00048
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DOI: https://doi.org/10.1203/00006450-200506000-00048