Comparison of clinical characteristics between cluster and isolated seizures associated with benign convulsions with mild gastroenteritis

Fan, Wei; Fang, Cuiyun; Yang, Yi; Zhang, Chunsheng

doi:10.1016/j.ejpn.2021.11.008

Cited by 2 publications

(2 citation statements)

References 23 publications

(24 reference statements)

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“…In CwG, it has been shown that mild hyponatremia affects some convulsive features, especially the duration of convulsions, as children with hyponatremia suffer more prolonged convulsions than patients with normal serum sodium levels (21). Our previous study found that serum sodium levels were lower in the multiple convulsions group compared to the single convulsions group, further validating the correlation between lower serum sodium and convulsive seizures (22). Unfortunately, we still cannot clarify the causal relationship between low serum sodium and convulsions, which requires more prospective studies.…”

Section: Discussionmentioning

confidence: 65%

Risk Factors for Benign Convulsions With Mild Gastroenteritis

Fang¹,

Fan²,

Zhang³

et al. 2022

Front. Pediatr.

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ObjectiveTo investigate the risk factors for benign convulsions with mild gastroenteritis (CwG) and provide a basis for the early identification and diagnosis.MethodWe selected children with CwG and acute gastroenteritis in the same period who attended the pediatric department of the Liyang People's Hospital from June 2018 to June 2021. A retrospective analysis of the general data, clinical characteristics, and laboratory test results of the two groups was performed. Finally, we conducted a multifactorial logistic regression analysis to derive the risk factors for CwG.ResultsA total of 82 children were included in the CwG and 93 children were included in the acute gastroenteritis group. Univariate analysis showed no significant differences in gender, age, vomiting, diarrhea, neutrophil, lymphocyte, hemoglobin, platelets, and serum calcium. Statistically significant differences were found in onset season, rotavirus, white blood cells, aspartate aminotransferase, alanine transaminase, serum sodium, and uric acid. Finally, multifactorial logistic regression analysis showed rotavirus (OR, 3.042, 95% CI, 1.116–8.289, p = 0.030), serum sodium (OR, 0.811, 95% CI, 0.684–0.962, p = 0.016) and uric acid (OR, 1.018, 95% CI, 1.012–1.024, p = 0.000) to be independent risk factors.ConclusionCharacteristics of gastroenteritis symptoms such as vomiting and diarrhea cannot be used to predict the onset of CwG. Rotavirus is an independent risk factor for CwG, and decreased serum sodium and increased uric acid can be used as early warning indicators for CwG.

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Section: Discussionmentioning

confidence: 65%

Risk Factors for Benign Convulsions With Mild Gastroenteritis

Fang¹,

Fan²,

Zhang³

et al. 2022

Front. Pediatr.

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“…Seizures are mostly brief (<5 min), and often repetitive, usually occurring in clusters ranging from one to 8 seizures within a 24 h period ( 19 ). Cluster seizures were observed in 13%–75% of patients with CwG ( 53 ).…”

Section: Clinical Featuresmentioning

confidence: 99%

Febrile seizures and convulsions with mild gastroenteritis: age-dependent acute symptomatic seizures

2023

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BackgroundFebrile seizures (FS) and benign convulsions in children with mild gastroenteritis (CwG) are acute symptomatic seizures, transiently occurring in infants and young children, probably related to the immaturity of the brain. Our paper aims to review the literature data on patients with FS and CwG.MethodsA review of series of patients with FS and CwG was performed by literature search on PubMed January 1960 to October 2022. Several parameters were considered, including epidemiology, pathophysiology, clinical features, electroencephalographic findings and other diagnostic studies, and treatment.ResultsFS and CwG share an age-dependent course, but they show significant differences in the pathophysiology, clinical features, diagnostic studies, and treatment.ConclusionAcute symptomatic seizures include seizures that are caused by acute structural brain pathologies, such as stroke, as well as seizures that are provoked by a reversible factor, such as hyponatraemia, although the two groups should be not equated. Furthermore, FS and CwG should be set apart as “age-dependent acute symptomatic seizures”, reinforcing the concept of their self-limited course over a certain period.

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Comparison of clinical characteristics between cluster and isolated seizures associated with benign convulsions with mild gastroenteritis

Cited by 2 publications

References 23 publications

Risk Factors for Benign Convulsions With Mild Gastroenteritis

Risk Factors for Benign Convulsions With Mild Gastroenteritis

Febrile seizures and convulsions with mild gastroenteritis: age-dependent acute symptomatic seizures

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