Autor: |
Kriti Mohan, Rashmie Prabha, Rahul Bhakat, Nikhil Rajvanshi, Swathi Chacham, Latika Mohan |
Rok vydání: |
2023 |
Předmět: |
|
Zdroj: |
Current Pediatric Reviews. 20 |
ISSN: |
1573-3963 |
DOI: |
10.2174/1573396320666230508150342 |
Popis: |
Aim: Electroencephalogram (EEG) is specific, but not sensitive, for the diagnosis of epilepsy. This study aimed to correlate the clinic-electrographic and radiological features of seizure disorders in children attending a tertiary care centre in northern India. Methods: Children aged between one to 18 years with seizure episodes were included. Clinical details, including historical as well as physical findings, were evaluated along with EEG and neuroimaging (Magnetic resonance imaging). Details were noted on pre-designed proforma. Variables were analysed by using appropriate statistical methods Results: A total of 110 children with seizures were enrolled in the study. Male to female ratio was 1.6: 1, and the mean age of the study children was 8 years. The majority of the children were symptomatic for more than one year. The most common seizure type was Generalised Tonic Clonic Seizure (GTCS), and Hypoxic-ischemic Encephalopathy (HIE) sequela was the most commonly attributed etiology, followed by neurocysticercosis. EEG and neuroimaging findings were found to correlate well with seizure semiology from history. The incidence of febrile seizures was 10% in this study, with nearly three-fourths of them being simple febrile seizures. Conclusion: Microcephaly and developmental delay were the most distinctive clinical correlates in children with seizures. There was a fair agreement between the types of seizures described in history and depicted on EEG with Cohen’s kappa of 0.4. Also, there was a significant association between the type of seizures on EEG and the duration of symptoms. |
Databáze: |
OpenAIRE |
Externí odkaz: |
|