Long-term follow-up in children with benign convulsions associated with gastroenteritis

Verrotti, Alberto; Moavero, Romina; Vigevano, Federico; Cantonetti, Laura; Guerra, Azzurra; Spezia, Elisabetta; Tricarico, Antonella; Nanni, Giuliana; Agostinelli, Sergio; Chiarelli, Francesco; Parisi, Pasquale; Capovilla, Giuseppe; Beccaria, Francesca; Spalice, Alberto; Coppola, Giangennaro; Franzoni, Emilio; Gentile, Valentina; Casellato, Susanna; Veggiotti, Pierangelo; Malgesini, Sara; Crichiutti, Giovanni; Balestri, Paolo; Grosso, Salvatore; Zamponi, Nelia; Incorpora, Gemma; Savasta, Salvatore; Costa, Paola; Pruna, Dario; Cusmai, Raffaella

doi:10.1016/j.ejpn.2014.04.006

Cited by 33 publications

(46 citation statements)

References 56 publications

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“…In the study by Verrotti et al in which the clinical features of 81 subjects with CwG were followed-up for a mean period of 9.8 years, the neurological examination and cognitive level at the last evaluation were found to be normal in all the patients, and only a mild attention deficit was detected in three cases (3.7%). 33 Interictal EEG abnormalities returned to normal during the follow-up period in all of the studies. In both children who had received continuous antiepileptic therapy and in those who did not receive any drug, these abnormalities returned to normal.…”

Section: Clinical Manifestationsmentioning

confidence: 85%

“…Before the introduction of RV vaccines, RV was the most common virus associated with CwG in all of the studies. 12,33 Moreover, RV antigens and RV RNA have been detected in the cerebrospinal fluid (CSF) of a number of children with AGE, 34,35 and an association between meningitis, meningoencephalitis, acute cerebellitis, flaccid paralysis, and Reye or Reye-like syndrome and RV AGE has been repeatedly reported. 36e39 In some cases, the CNS lesions in children with RV AGE and seizures have been found to be reversible as evidenced in cases with transient lesions in the splenium of the corpus callosum 40e42 or transient bilateral basal ganglia lesions.…”

Section: The Epidemiology and Pathogenesis Of Cwgmentioning

confidence: 98%

“…Verrotti et al reported that 87.7% of children had seizures lasting less than 5 min and 12.3% between 5 and 10 min. 33 A cluster of several seizures during a single diarrhoeal episode is common. In the study by Uemura et al, 2 or more seizures occurred in 86 (75%) of the 114 episodes.…”

Section: Clinical Manifestationsmentioning

confidence: 99%

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Benign convulsions in children with mild gastroenteritis

Castellazzi

Principi

Agostoni

et al. 2016

European Journal of Paediatric Neurology

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Section: Clinical Manifestationsmentioning

confidence: 85%

Section: The Epidemiology and Pathogenesis Of Cwgmentioning

confidence: 98%

See 1 more Smart Citation

Benign convulsions in children with mild gastroenteritis

Castellazzi

Principi

Agostoni

et al. 2016

European Journal of Paediatric Neurology

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“…Recent study reported that none of 81 CwG patients developed epilepsy and only mild attention deficit was detected in less than 5 % of patients with mean follow-up duration of 9.8 years [20]. …”

Section: Discussionmentioning

confidence: 99%

Norovirus in benign convulsions with mild gastroenteritis

et al. 2016

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BackgroundBenign convulsions with gastroenteritis (CwG) are defined as afebrile convulsions accompanying symptoms of gastroenteritis without evidence of laboratory derangement. Although the main pathogen has been known as rotavirus, since the introduction of rotavirus vaccine, associated viruses with CwG may have changed. Thus, we evaluated the viral association of CwG for patients admitting for recent 2.5 years.MethodsAll patients hospitalized for CwG between November 2012 and May 2015 were included in our study. Stool specimens were tested with reverse transcription polymerase chain reaction for detecting norovirus and astrovirus and with enzyme immunoassay for rotavirus and enteric adenovirus. Clinical data was gathered via chart review.ResultsFifty patients were included. Except four patients who failed to collect stool samples, 46 patients were tested. Causative diarrheal viruses were detected in 38 patients and they were 29 norovirus, four rotavirus, four adenovirus, and one astrovirus. Norovirus was commonly identified during the months of November and December. No difference of the clinical characteristics and laboratory value was noted according to the number of seizure episodes.ConclusionsNorovirus is a common pathogen in CwG. Understanding the viral associations can facilitate recognition of CwG.

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“…Прогноз заболевания благоприятный, с полным прекращением приступов после окончания инфекционного заболевания [25]. В исследовании T. Durá-Travé и соавт.…”

Section: этиологияunclassified

Benign infantile seizures associated with mild gastroenteritis : clinical and electroencephalographic characteristics

Ноговицын

Бобылова²

2019

Rus. ž. det. nevrol.

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Benign infantile seizures associated with mild gastroenteritis are a special type of situationally determined seizures in infants. Usually, clinical manifestations are observed between 4 month and 3 years of age, most commonly during the second year of life. Vomiting and diarrhea are the key symptoms, although their severity may vary. Other typical signs include multiple serial seizures (focal, secondarily generalized) over several days accompanying enteric infection (caused by rotavirus, norovirus, rarely sapoviruses, adenovirus, or Coxsackie virus), no changes in the interictal electroencephalogram, and favorable prognosis. Differential diagnosis should include neuroinfections, fluid and electrolyte disorders, epilepsy, and febrile seizures. Examination should include analysis of blood and cerebrospinal fluid and electroencephalography. The majority of patients have normal interictal electroencephalogram. The authors present own observations.

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Long-term follow-up in children with benign convulsions associated with gastroenteritis

Cited by 33 publications

References 56 publications

Benign convulsions in children with mild gastroenteritis

Benign convulsions in children with mild gastroenteritis

Norovirus in benign convulsions with mild gastroenteritis

Benign infantile seizures associated with mild gastroenteritis : clinical and electroencephalographic characteristics

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