Abstract
Objective: Febrile convulsion (FC) is defined as a seizure triggered by fever in children between 6 months and 5 years of age without an underlying central nervous system infection. In this study, we aimed to evaluate clinical features including demographics, laboratory findings, and causes of fever with FC duration among inpatients diagnosed and treated for FC. Methods: A total of 238 patients with the diagnosis of FC between May 2009 and May 2012 were included in the study. Demographic, clinical, and laboratory data of the patients were analyzed. Results: One hundred and thirty nine patients (58.5%) were male and 99 (41.5%) were female, with a male/female ratio of 1.4. Mean age of the patients admitted with a first FC was 2.2 ± 1.1 years. The mean temperature of the patients measured rectally during the seizure was 38.7 ± 0.5 oC. Febrile convulsion was diagnosed as simple type in 198 (83.2%) and complex type in 40 (16.8%) of the patients. Thirty three (13.8%) patients developed a second seizure within 24 hours. Median convulsion duration was 2 (1-5) minutes. The most frequent fever etiology was upper respiratory tract infection in 131 (55%) cases. Conclusion: This study demonstrated that benign conditions, such as upper respiratory tract infections, were common causes of FC. A conservative approach should be more appropriate in these cases.
Highlights
Parachordoma is a very rare tumor that is histologically resembling chordoma but occurring in the non-axial deep-seated soft tissues of the extremities or in the skin
Parachordoma is a soft tissue tumor characterized by an indolent nature with some potential for local recurrence, normally in a range from 3 months to 12 years after surgery
Different chemotherapy regimens have been used for metastatic parachordoma and there is no consensus as to which regimen is the most effective
Summary
Parachordoma is a very rare tumor that is histologically resembling chordoma but occurring in the non-axial deep-seated soft tissues of the extremities or in the skin. Parachordoma is a soft tissue tumor characterized by an indolent nature with some potential for local recurrence, normally in a range from 3 months to 12 years after surgery. A 28-year-old male was initially diagnosed with parachordoma after surgical removal of a mass in his right shoulder. The patient’s primary complaints were pain in the left retro-orbital region as well as in the right sacroiliac area (Figure 4c). Follow-up evaluation and imaging studies revealed minimal decrease in size in the pulmonary nodules and the retro-orbital mass. At the time that this report was written, five years after the initial diagnosis and two years after the diagnosis of metastasis, the patient was alive and well with no sign of tumor recurrence and no evidence of new metastatic disease. There was no FDG uptake in the pulmonary nodules on the PET-CT that was obtained afterwards, the sacroiliac mass had a maximum SUV of 10 (figure 4a)
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