تفاصيل الوثيقة
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نوع الوثيقة |
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مقال في مجلة دورية |
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عنوان الوثيقة |
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الخصائص السريرية للأطفال المنومين بالتشنجات الحرارية Clinical Profile of Admitted Children with Febrile Seizures. |
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لغة الوثيقة |
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الانجليزية |
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المستخلص |
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Objectives: Febrile seizures are the most common seizure disorder in children younger than 5 years of age. Despite the progress in the understanding of this benign epilepsy syndrome, a wide variation in physician evaluation and management persists. We evaluated the clinical profile and outcome of children admitted to our institution.
Methods: A series of 69 consecutive children with febrile seizures were identified by chart review from 1.1.1997 to 1.1.2002. Clinical, laboratory, EEG, and neuroimaging data were evaluated by one investigator using a structured data collection form. Results: The children’s ages ranged between 7-70 months (mean 20, SD 14), and 59.5% were males. The source of the febrile illness was evident in 65%, however, most admitted children (60 out of 69) had at least one of the following features, atypical seizures (55%), ill looking (24.5%), febrile status (17.5%), or positive meningeal irritation signs (4%). Minor electrolyte abnormalities were found in 10%, however, complete blood count (CBC) was abnormal in 45%, which increased the likelihood of receiving IV antibiotics (p=0.01). Lumbar puncture was performed on 75%, particularly those with a first seizure (OR 3.8, 95%CI 0.9-15) or younger than 2 years of age (OR 3.4, 95%CI 0.7-17). Brain CT and electroencephalograms (EEG) were performed in 13% and 33% respectively. Obtaining an EEG was less likely if the seizure was typical (13% vs 50% in atypical, p=0.002). Duration of hospitalization ranged between 1-14 days (mean 4.7, SD 3.2), and only 1 child had meningitis, which was predicted clinically. Conclusions: Pediatricians are becoming selective in admitting and investigating children with febrile seizures. The children frequently had atypical seizures, status epilepticus, or were ill looking. The yield of investigations remains low and does not justify extensive work-up or prolonged hospitalization. |
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ردمد |
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8832-1012 |
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اسم الدورية |
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Neurosciences Journal |
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المجلد |
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1 |
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العدد |
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10 |
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سنة النشر |
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2005 هـ
2005 م |
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نوع المقالة |
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مقالة علمية |
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تاريخ الاضافة على الموقع |
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Saturday, March 13, 2010 |
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الباحثون
| محمد جان | jan, Mohammed | باحث | دكتوراه | |
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الرجوع إلى صفحة الأبحاث
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