Benign infantile convulsions associated with mild gastroenteritis: An electroclinical study of 34 patients

Abstract

PurposeTo analyze the electroclinical features and evolution of patients diagnosed with convulsions with mild gastroenteritis (CwG) from southwest China. MethodsWe reviewed and analyzed the medical records of 34 patients (13 males) diagnosed with CwG and followed-up for at least 12 months. ResultsThe age of onset was 6–29 months and the female/male ratio 1.62. Seizures were generalized in 32 cases. Single seizures in 15 cases were <5min and multiple seizures 24–48h after seizure onset were seen in 18 cases. Seizure duration was <1min in 32.35%, between 1 and 5min in 55.88%, and between 5 and 10min in 8.82% of seizures. The average interval between the onset of gastroenteritis and seizures was 2.47 days. Rotavirus antigen was positive in stools in 26.47% of cases. During the acute phase, diazepam and phenobarbital as first-line treatment were effective in 25% and 83.33% of cases, respectively. Fourteen patients showed non-specific anomalies in the interictal electroencephalography. During 12–36 months follow-up, 33 cases showed normal psychomotor development and no seizures. ConclusionsCwG occurred mostly in toddlers. During the acute phase, phenobarbital is more effective in controlling seizures. For a good prognosis, it is unnecessary to administrate long-term anticonvulsants.