Benign convulsions associated with mild gastroenteritis: a multicenter clinical study
Autor: | Pasquale Parisi, Giuseppe Capovilla, Paolo Balestri, Emilio Franzoni, Sergio Agostinelli, Paola Costa, Giuliana Nanni, Salvatore Grosso, Pierangelo Veggiotti, Sara Malgesini, Dario Pruna, Valentina Gentile, Alberto Spalice, Francesca Beccaria, Giangennaro Coppola, Gemma Incorpora, Susanna Casellato, Salvatore Savasta, Alberto Verrotti, Paola Iannetti, Giovanni Crichiutti, Nelia Zamponi, Francesco Chiarelli |
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Přispěvatelé: | Verrotti A, Nanni G, Agostinelli S, Parisi P, Capovilla G, Beccaria F, Iannetti P, Spalice A, Coppola G, Franzoni E, Gentile V, Casellato S, Veggiotti P, Malgesini S, Crichiutti G, Balestri P, Grosso S, Zamponi N, Incorpora G, Savasta S, Costa P, Pruna D, Chiarelli F |
Jazyk: | angličtina |
Rok vydání: | 2011 |
Předmět: |
Male
Rotavirus Pediatrics Afebrile seizures medicine.medical_treatment Water-Electrolyte Imbalance CHILDREN Neurological disorder Antiepileptic drugs Gastroenteritis Ictal EEG Age of Onset Anticonvulsants Child Preschool Electroencephalography Epilepsy Family Female Follow-Up Studies Hospitalization Humans Infant Intelligence Tests Italy Seizures Sex Characteristics Tomography X-Ray Computed Treatment Outcome Wechsler Scales Neurology Neurology (clinical) Convulsion Child Tomography medicine.diagnostic_test X-Ray Computed MILD GASTROENTERITIS medicine.symptom BENIGN CONVULSIONS medicine.medical_specialty EEG FEATURES Central nervous system disease medicine Ictal Preschool afebrile seizures antiepileptic drugs gastroenteritis ictal eeg rotavirus benign convulsions with mild gastroenteritis (CwG) business.industry medicine.disease Surgery Anticonvulsant Age of onset business |
Popis: | Summary Purpose To assess the clinical characteristics and the outcome of benign convulsions associated with mild gastroenteritis (CwG) in Italian children. Methods We studied clinical and EEG features of 128 children with CwG who were hospitalized between January 2004 and February 2008 and then followed for at least 12 months in 14 Italian centers. Results Age at onset ranged from 6 to 60 months. The seizures were generalized in 73 cases (57%), only focal in 16 (12.5%), and secondarily generalized in 39 (30.5%). The duration of the seizures was under 5 min in 97 patients (75.8%), between 5 and 30 min in 26 (20.3%), and longer than 30 min in 5 (3.9%). Seventy-three participants (57%) had 2 or more seizures, which recurred within 24–48 h. In the acute phase, antiepileptic drugs were used in 72 patients (56.3%). Although interictal abnormalities were present in EEG of 28 children (21.9%), these reverted to normal. During the follow up period, only 6 patients (4.7%) suffered from recurrence of CwG, 7 (5.5%) suffered from simple febrile seizures, and 3 (2.3%) developed epilepsy. Conclusions Recognition of CwG in children allows pediatricians to avoid extensive evaluations and continuous antiepileptic therapy and to reassure parents regarding the lack of long-term complications. |
Databáze: | OpenAIRE |
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