Evaluation of EEGs of children referred with first non-febrile seizure in Ahvaz, south west of Iran

Momen, Ali Akbar; Davoodzadeh, Hannaneh; Morvaridnejad, Maryam

doi:10.5114/nan.2017.70632

Cited by 4 publications

(5 citation statements)

References 16 publications

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“…Iron deficiency may raise a child's risk of febrile seizures since iron is necessary for the proper operation of many enzymes and neurotransmitters found in the central nervous system. This in agreement with Momen et al (32) who found also that HB, HCT, MCV and MCH were lower in cases of FS in comparison with controls. But this is in disagreement with Yousef ichaijan et al (33) who found that when comparing the FS group to the control group, all of these markers were greater in the former.…”

Section: Discussionsupporting

confidence: 93%

Iron Status in Children Less Than 6 Years Suffering from Febrile Convulsions in Upper Egypt: A Case Control Study

2024

The Egyptian Journal of Hospital Medicine

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Background: Febrile seizures in pediatric, represent the most common seizure disorder during childhood and exist only in association with an elevated temperature. A youngster between the ages of six months and six years experiences it. Febrile seizure is a benign condition with excellent prognosis and with a recurrence rate of 20 to 30%.Objective: This research aimed to evaluate the iron status of children aged 6 months to 6 years who were experiencing febrile convulsions in order to determine the effect of iron deficiency anemia in light of the high frequency of both conditions in children. Methods: Fifty children with febrile seizures (patient group) and fifty healthy children of similar age and gender (control group) participated in this research. The study was carried out from June 2016 to June 2017, in the Outpatient Clinic and Pediatric Department of Aswan University Hospital. The children who underwent laboratory testing ranged in age from 6 months to 6 years. Results:The current study reported that 56% of cases of febrile convulsions had iron deficiency anemia. Additionally, we discovered that, in contrast to controls, cases of febrile convulsions had lower blood levels of ferritin, hemoglobin, mean corpuscular volume, and mean corpuscular hemoglobin. We discovered that, in contrast to controls, patients with febrile convulsions had higher mean platelet count, total iron binding capacity, and red cell distribution width. Conclusion: Iron deficiency anemia acts as a possible high-risk factor for development of febrile seizures in children aged from 6 months to 6 years.

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Section: Discussionsupporting

confidence: 93%

Iron Status in Children Less Than 6 Years Suffering from Febrile Convulsions in Upper Egypt: A Case Control Study

2024

The Egyptian Journal of Hospital Medicine

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“…In the present study, out of 70 cases, 45 (64.28 %) cases had abnormal EEG discharges, which was similar to the study done by N. Narkhede et al [8] which had 66 (66 %) cases with abnormal EEG out of 100 cases, Momen et al [6] had 19 (59.37 %) cases with abnormal EGG out of 32 cases, and Owolabi LF et al [9] had 213 (58.8 %) cases out of 403 cases.…”

Section: Discussionsupporting

confidence: 91%

“…Similar studies were done in the last decade to determine the role of EEG and MRI in identifying the cause of unprovoked seizures. In the present study, out of 70 cases, most cases, 48 (68.57 %), presented with generalized seizures, which was like the study done by Momen et al [6] 20 (62.51 %) and Anand, et al [6] 63 (66.3 %). A much more predominance of generalized seizures is seen in a study done by Ashok Panagariya et al [7] 285 (75 %); this may be attributed to the higher sample size of their study.…”

Section: Discussionsupporting

confidence: 89%

Role of EEG and MRI brain in the diagnosis of unprovoked seizures in children in a tertiary care centre

Priyadarshini

Kumar

Ch³

et al. 2023

SR:MS

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Seizure disorders are a major public health problem in a developing country like India. Epilepsy characterized by recurrent unprovoked seizures is a common heterogeneous neurological problem in children that exerts a significant medical, physical, psychological, social, and economic challenge. This study evaluated the importance of the available diagnostic modalities, EEG and MRI, which could influence the management, prognosis and recurrence of unprovoked seizures. The aims and objectives: To determine the role of Electroencephalography and MRI BRAIN in evaluating children presenting with unprovoked seizures. Methodology: The present study was a hospital-based observational study carried out during the period of January 2021 to December 2021 of 70 children who presented with unprovoked seizures to the Department of Paediatrics, Niloufer Hospital, Hyderabad. Results: Among the 70 children who were investigated, EEG showed abnormal findings in 45 (64.29 %) cases. Out of these, the majority of 32 (45.71 %) cases had generalized seizures, and 13 (18.57 %) cases were focal seizures. MRI showed abnormal findings in 30 (42.86 %) cases, and an equal percentage of cases, 15 (21.43 %) of generalized seizures and focal seizures, were having abnormal MRI findings out of the 30 cases with abnormal MRI findings. But, when studied among the individual seizure subtype, a major proportion of focal seizure (68.18 %) cases out of 22 focal seizures had abnormal MRI findings when compared to 31.25 % of generalized seizure cases out of 48 generalized seizure cases with abnormal MRI findings. Conclusion: MRI can identify most of the structural brain abnormalities, and EEG is useful to clearly identify the region of the epileptogenic foci. Therefore, EEG and MRI were useful in identifying a possible cause for unprovoked seizures in children

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“…We found that the recurrence of seizures after the first afebrile seizure was associated with a family history of epilepsy (RR = 2.333), seizures occurring during sleep (RR = 3.815), and seizure duration >5 min, consistent with previous studies. [13][14][15] Generalized seizures were more common (61.0%) than other types as the first afebrile seizure, congruent with the 63% (generalized seizures) reported by Poudyal et al 16 In this study, Todd's paralysis was a significant predictor of seizure recurrence compared with sphincter loss and/or vomiting during the attack, although not significant. These findings are consistent with those of Woo et al, 17 who have reported abnormal neuroimaging findings for most cases of Todd's paralysis that predicted seizure recurrence.…”

Section: Discussionsupporting

confidence: 86%

Risk of seizure recurrence in children with new-onset afebrile seizure

Taha,

Muhammed

2023

Med J Indones

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BACKGROUND A seizure is a brief change in the normal neuronal electrical activity of the brain that causes changes in consciousness, perception, behavior, or movement. This study aimed to evaluate clinical findings, initial electroencephalography (EEG), and brain imaging findings as predictors of seizure recurrence after the first nonfebrile seizure. METHODS This prospective follow-up study was conducted at Azadi Teaching Hospital, Kirkuk from July 2019 to January 2022 and enrolled 150 patients, ranging from 1 month to 15 years of age, who presented with their first afebrile seizure. The seizure types were classified based on the International League Against Epilepsy in 2017. A brain imaging with EEG was performed within 72 hours after admission. RESULTS The median age of the patients was 5 years. A higher risk of seizure recurrence occurred in patients with focal seizure (relative risk [RR] = 6.604) (95% confidence interval [CI] 3.975–10.971), seizure occurrence at sleep (RR = 3.815) (95% CI 2.410–6.039), an abnormal neurological presentation such as Todd’s paralysis (RR = 1.739) (95% CI 1.252–2.415), a positive family history of seizures (RR = 2.333) (95% CI 1.598–3.408), abnormal EEG (RR = 0.171) (95% CI 0.092–0.318), and abnormal brain image findings (RR = 0.681) (95% CI 0.492–0.941) within 72 hours. Seizure recurrence was not correlated with sex. CONCLUSIONS Early and late childhood new-onset afebrile seizures with a positive family history, focal epilepsy, seizure during sleep, prolonged attack duration with frequent attacks within 24 hours, and abnormal initial EEG and brain image had a high risk of seizure recurrence.

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Evaluation of EEGs of children referred with first non-febrile seizure in Ahvaz, south west of Iran

Cited by 4 publications

References 16 publications

Iron Status in Children Less Than 6 Years Suffering from Febrile Convulsions in Upper Egypt: A Case Control Study

Iron Status in Children Less Than 6 Years Suffering from Febrile Convulsions in Upper Egypt: A Case Control Study

Role of EEG and MRI brain in the diagnosis of unprovoked seizures in children in a tertiary care centre

Risk of seizure recurrence in children with new-onset afebrile seizure

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