Abstract
Researchers at Chung Shan Medical University, Taichung, and other centers in Taiwan analyzed 969 EEGs from 463 children with epilepsy to determine outcome differences over 3 years between those with fixed epileptic foci and those with migrated foci.
Highlights
Researchers at Chung Shan Medical University, Taichung, and other centers in Taiwan analyzed 969 EEGs from 463 children with epilepsy to determine outcome differences over 3 years between those with fixed epileptic foci and those with migrated foci
Acute gastroenteritis was associated with nonfebrile-illness seizures more frequently than febrile seizures (47% cf 28%, respectively, P=0.05)
Children with acute gastroenteritis experienced multiple seizures within the first 24 hours significantly more often than children with febrile seizures (58% and 27%, respectively, p=0.001)
Summary
Researchers at Seattle Children's Research Institute and University of Washington report a prospective longitudinal study of children who presented with a first-time seizure associated with a viral infectious illness. Acute gastroenteritis was associated with nonfebrile-illness seizures more frequently than febrile seizures (47% cf 28%, respectively, P=0.05). Children with acute gastroenteritis at first seizure, regardless of fever, had fewer seizure recurrences compared with children with other acute illnesses. Nonfebrile illness seizures are regarded as a distinct category of provoked seizures associated with a viral infection, frequently acute gastrointestinal. The acute gastrointestinal illness nonfebrile seizure has a lower rate of seizure recurrence and few neurologic complications. Fever was absent in the 24 hours before or 2 hours after the first seizure in 58% of children with gastrointestinal illness-associated seizures in the above study
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