Abstract
Ictal electroencephalograms (EEGs) were recorded in six patients (2 male, 4 female; ages 14 mo to 38 mo) with afebrile convulsions and mild gastroenteritis (CwG), in a study at Nagoya, Japan. None had febrile convulsions.
Highlights
Affecting Japanese children, Convulsion with mild gastroenteritis (CwG) is known to occur outside Asia
In the Japanese study, FS were complex in one third of the influenza-associated seizures, and postictal impairment of consciousness was prolonged (PPIC) for more than 30 min in 13%
A cluster of seizures occurred within 1 -3 days of the onset of gastroenteritis, Rotavirus antigen test in the stool was positive in 2 patients
Summary
Affecting Japanese children, CwG is known to occur outside Asia. A study of 14 children with the syndrome is reported from the UK An almost identical study and similar findings to those in Japan are reported from Hong Kong (Kwong KL et al Pediatr Neurol Dec 2006;35:395-399; see Ped Neur Briefs Dec 2006;20:94-5). In the Japanese study, FS were complex in one third of the influenza-associated seizures, and postictal impairment of consciousness was prolonged (PPIC) for more than 30 min in 13%. Patients with a higher body temperature had PPIC and had received diazepam, given to raise the seizure threshold.
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