Characteristics of Children Admitted to the Emergency Department with Convulsive Epileptic Seizures: A Single-Center Study

Berksoy, Emel; Yılmaz, Ünsal; İşgüder, Rana; Yazıcı, Selçuk; Çelik, Tanju; Ünalp, Aycan

doi:10.4274/cayd.86548

Cited by 1 publication

(3 citation statements)

References 14 publications

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“…3 In a prepandemic study by Berksoy et al, which included 335 patients who presented to the pediatric ED with convulsive seizures, 38.5% were febrile, 17.6% first afebrile, 35.8% idiopathic epilepsy, 8.1% symptomatic epileptic, and 1.5% symptomatic. 9 Our results were similar. The rate of febrile seizures was 33.6% and epilepsy 35.6%.…”

Section: Discussionsupporting

confidence: 76%

“…The rate of epilepsy among our patients with first afebrile seizures was higher compared with the rate Berksoy et al 9 and Chen et al 10 (34%) reported. In our study, 23 of 32 patients with first afebrile seizures underwent EEG, revealing epileptic activity in 11 of them.…”

Section: Discussioncontrasting

confidence: 65%

“…In the aforementioned study by Berksoy et al, 9 abnormal EEG findings were observed in 7 of 129 patients with febrile seizures, 13 of 54 first afebrile, and 94 of 147 epilepsy. Therefore, the rate of pathological EEG findings was very low among febrile seizure cases compared with others.…”

Section: Discussionmentioning

confidence: 85%

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Evaluation of Patients Presenting to the Pediatric Emergency Department with Seizures during the COVID-19 Pandemic

Tekin

Durgut

Akoğlu

2022

Journal of Pediatric Epilepsy

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The coronavirus disease 2019 pandemic has led to significant changes in hospital visits worldwide. The admission rates have remarkably decreased. This study investigates the characteristics of 104 patients (54 girls, 50 boys) who presented to our pediatric emergency department (ED) with seizures during the pandemic between May 2020 and May 2021. Regarding seizure type, 84 generalized and 20 focal seizures had occurred. Tonic, tonic–clonic, clonic, and hypomotor seizures were seen in descending order. Thirty-seven patients were diagnosed with epilepsy, and 32 patients with first afebrile, 25 first febrile, and 10 recurrent febrile seizures. No patients had acute symptomatic seizures. In 85 patients, the seizures had stopped before the ED visit; only one lasted >60 minutes. Benzodiazepines were administered as a first-line drug. Demographical features, electroencephalogram (EEG), and cranial imaging findings, laboratory test results, and distribution by month and by the hour of ED visit were analyzed. Study data was in accordance with the literature by seizure types, seizure management, and cranial imaging rates but differed by distribution in terms of month and the hour of ED visit. The EEG abnormality rate was higher among the first afebrile seizure cases. The number of patients with seizures was 69, that is, 0.3% of emergency admissions, for the 4 months of 2019 before the pandemic, and 104, that is, 0.4% of emergency admissions for the whole initial year of the pandemic thereafter. So, the number of patients with seizures had decreased, but their rate had increased, which could be attributed to a decrease in the number of nonurgent presentations to the ED during the pandemic.

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Section: Discussionsupporting

confidence: 76%

Section: Discussioncontrasting

confidence: 65%