Benign convulsion with mild gastroenteritis

Kang, Ben; Kwon, Young Se

doi:10.3345/kjp.2014.57.7.304

Cited by 35 publications

(69 citation statements)

References 47 publications

(120 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We defined seizures lasting >10 minutes as PSE. In previous studies, most patients exhibited GT, atonic, tonic, and partial focal seizures with secondary generalization [22][23][24] . Our patients showed GTC, GT, or focal motor seizures.…”

Section: The Duration Of Seizures In Cwg Is Usually 30 Seconds To <5mentioning

confidence: 78%

“…Lee et al reported that febrile CwG had clinical features similar to those of febrile seizures and not intermediate between those of CwG and febrile seizure. 12) Febrile seizures usually involve a single seizure, whereas CwG involves multiple seizures in clusters 7,23) .…”

Section: Seizure Characteristics In Children With Practical Status Epmentioning

confidence: 99%

“…minutes and is rarely prolonged. However, some studies reported seizures lasting >30 minutes in patients with CwG 20,22,23,28) .…”

Section: The Duration Of Seizures In Cwg Is Usually 30 Seconds To <5mentioning

confidence: 99%

“…In previous studies, patients with seizures associated with gastroenteritis showed normal MRI and EEG findings [3][4][5][6][7][8]17,[20][21][22]26,27) , which is consistent with our study findings. Previous studies had few reports on prolonged seizure in CwG 20,22,23,28) without considering the risk factors for prolonged seizure. Although there is a need to discuss the risk factors for seizure lasting >10 minutes, the number of patients in this study was too small to identify statistically significant factors.…”

Section: The Duration Of Seizures In Cwg Is Usually 30 Seconds To <5mentioning

confidence: 99%

See 3 more Smart Citations

Convulsions with Noroviral Gastroenteritis in Children at a Single Center in Korea

강수연¹,

이현주²,

김신혜³

2018

Child Neurol

View full text Add to dashboard Cite

Viral gastroenteritis is a common disease in infants and children. Seizures can be associated with viral gastroenteritis as benign convulsions with mild gastroenteritis (CwG). After the development of the rotavirus vaccination, norovirus has become inreasingly significant in children. We retrospectively analyzed the clinical features in a pediatric population presenting with seizures and confirmed enteral viral infections, especially norovirus infections. Methods: We retrospectively reviewed the medical records of pediatric patients aged <15 years admitted due to convulsions and gastroenteritis to the Department of Pediatrics of Myongji Hospital between July 2014 and June 2016. Results: A total of 46 patients (24 male and 22 female) were included. Norovirus was detected in 21 (45.7%) patients, adenovirus in three (6.5%), rotavirus in two (4.3%), astrovirus in one (2.2%), and none of agents were detected in 19 (41.3%) patients. Patients in the norovirus gastroenteritis (NGE) group had a higher incidence of diarrhea than that among in the non-norovirus gastroenteritis (NNGE) group (61.9% vs 28.0%; P<0.05). Twelve patients experienced status epilepticus, including five (23.8%) in the NGE group and seven (33.0%) in the NNGE group (P=0.837). Seizures were effectively terminated by intravenous benzodiazepines in 8 (66.7%) of 12 patients. Additional long-acting antiepileptic drugs such as fosphenytoin or levetiracetam were required in three (25%) of 12 patients. Conclusion: Patients with CwG with and without noroviurs infection did not differ in terms of clinical features. However, status epilepticus was not uncommon among patients with CwG by definition.

show abstract

Section: The Duration Of Seizures In Cwg Is Usually 30 Seconds To <5mentioning

confidence: 78%

Section: Seizure Characteristics In Children With Practical Status Epmentioning

confidence: 99%

“…minutes and is rarely prolonged. However, some studies reported seizures lasting >30 minutes in patients with CwG 20,22,23,28) .…”

Section: The Duration Of Seizures In Cwg Is Usually 30 Seconds To <5mentioning

confidence: 99%

Section: The Duration Of Seizures In Cwg Is Usually 30 Seconds To <5mentioning

confidence: 99%

See 2 more Smart Citations

Convulsions with Noroviral Gastroenteritis in Children at a Single Center in Korea

강수연¹,

이현주²,

김신혜³

2018

Child Neurol

View full text Add to dashboard Cite

show abstract

“…However, when the patient has symptoms of diarrhea and/or vomiting before or after seizures, this can indicate the presence of benign convulsions with mild gastroenteritis (CwG) . Additionally, if the season is early winter or spring when rotavirus and norovirus are prevalent, CwG have to be considered in patients especially between 13 to 24 months of age with short-lasting seizures (less than 5 minutes) occurring in clusters [3][4][5][6][7][8][9][10][11][12]15,16,19,24].…”

Section: Introductionmentioning

confidence: 99%

Benign Convulsions with Mild Gastroenteritis

Kim

2020

Ann Child Neurol

View full text Add to dashboard Cite

Benign convulsions with mild gastroenteritis (CwG) are a well-known type of benign seizures that occur in infants and children aged between 6 months and 3 years and are associated with acute (viral) gastroenteritis. The pathogens found in the stool of CwG patients are mostly rotavirus or norovirus, which can result in mild dehydration. Short-lasting seizures (≤5 minutes) occur in clusters within 24 hours, without provoking features such as fever, abnormal laboratory findings in the blood (e.g., hypoglycemia, hyponatremia, or hypocalcemia), or abnormal results in the cerebrospinal fluid (e.g., central nervous system infection). Electroencephalography in CwG patients shows normal or mildly abnormal findings, and brain imaging findings are normal. Affected children develop normally before and after the seizures. The occurrence of seizures does not require the repeated use of first-or second-line intravenous antiepileptic drugs in the acute stage or daily antiepileptic drug medications, since they usually do not recur and have a good prognosis. Patients with CwG rarely have a family history of epilepsy. Although the mean interval between enteric symptom onset and seizure onset in CwG is roughly 2 days, some patients can experience seizures before enteric symptoms, meaning that clinicians should exercise caution during early winter and spring, when the prevalence of CwG is especially high. Additionally, reports of CwG in Korea are roughly as common as in Japan and other East Asian countries, and pediatricians should therefore be familiar with its clinical characteristics and take care not to overprescribe antiepileptic drugs in patients with CwG.

show abstract

Clinical characteristics and follow‐up of children with norovirus‐associated benign convulsions with mild gastroenteritis

et al. 2023

View full text Add to dashboard Cite

ObjectiveExplore the clinical characteristics and prognosis of children with norovirus (NoV)‐associated benign convulsions with mild gastroenteritis (CwG).MethodsWe retrospectively analyzed the Clinical and laboratory data of children with NoV‐associated CwG admitted to the emergency department of Guangzhou Children's Hospital between January 2019 and January 2020. And patients were followed up for 23–36 months.ResultsThere are 49 cases met the CwG criteria. Vomiting was the first symptom in 31 (63.3%) patients, and vomiting could be the main or the only gastrointestinal symptom. The mean frequency of seizures was 3.8 ± 2.4 episodes. Most patients (95.9%) experienced seizures that lasted for less than 5 min. Of the 43 (87.8%) cases followed up from 23 to 36 months, only one experienced recurrent convulsions (after rotavirus infection).SignificanceNoV‐associated CwG patients were prone to experiencing more convulsions. However, because most NoV‐associated CwG patients had good prognosis, long‐term use of anticonvulsants are unnecessary.

show abstract

Benign convulsion with mild gastroenteritis

Cited by 35 publications

References 47 publications

Convulsions with Noroviral Gastroenteritis in Children at a Single Center in Korea

Convulsions with Noroviral Gastroenteritis in Children at a Single Center in Korea

Benign Convulsions with Mild Gastroenteritis

Clinical characteristics and follow‐up of children with norovirus‐associated benign convulsions with mild gastroenteritis

Contact Info

Product

Resources

About