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KMID : 1130320070500080757
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Korean Journal of Pediatrics
2007 Volume.50 No. 8 p.757 ~ p.760
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Unprovoked seizures in children with complex febrile convulsion; short-term outcome
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Choi Ji-Yeon
Cheon Eun-Jung
Lee Young-Hyuk
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Abstract
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Purpose : Febrile convulsions (FC) were considered to be a benign seizure syndrome that is distinct from epilepsy. But it is thought that children with complex features i.e., partial or prolonged seizures or multiple episodes of FC would bear a higher risk of developing unprovoked seizures. The aim of this study is to look into the relative significance of each criteria that define complex febrile convulsions (CFC) as a predictor of subsequent epilepsy.
Methods : All children were retrospectively identified for a febrile seizure through pediatric departments of the Konyang University Hospital. Information was collected from medical records and interviews with parents. Patients with abnormal neurological examinations at presentation were excluded.
Results : This study was performed from March 2000 to December 2003. Sixty-three out of 314 children (20.0%) with febrile convulsion fulfilled the criteria for CFC and forty-four children of them have been followed for 12 months or more. Ten of these (23.2%) had unprovoked seizures for 14-62 months (median 34.2+/-11.6 months). The patients with partial FC showed a trend toward a higher risk (57.1%) of developing epilepsy than the patients with multiple or prolonged febrile convulsions (26.7%, 24.1% respectively).
Conclusion : We found that the partial feature of febrile convulsion is associated with subsequent epilepsy.
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KEYWORD
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Complex febrile convulsion, Epilepsy
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