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
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