medigraphic.com
Boletín Médico del Hospital Infantil de México

2008, Number 3

<< Back Next >>

Bol Med Hosp Infant Mex 2008; 65 (3)

Seizures rate in pediatric outpatients at a general hospital in Mexico City

Razo Blanco-Hernández DM, Lima-Gómez V, Hernández-Juárez GF, Quezada-García AR

Language: Spanish
References: 15
Page: 186-190
PDF size: 132.79 Kb.


ABSTRACT

Introduction. Seizures are the second most common neurological disease. Objective: To identify the rate and type of seizures in pediatric outpatients of a general hospital.
Methods. Patients with a clinical diagnosis of seizures attending the outpatients Pediatrics clinic were enrolled in this one-month study. Rate ratios and 95% confidence intervals (CI) were calculated. Distributions of seizure type according to gender and age were calculated.
Results. The rate ratio found was 11.5% (n =382, 95% CI 8.31-14.69); the most common seizure type was generalized tonic-clonic seizure 5.5% (47% of total seizures, n =44); seizure frequency did not show any statistical difference among age-group (P =0.483). Febrile seizures represented only 0.8% (6.8% of total seizures, n =44).
Conclusions. The seizure rate observed was higher than the expected rate. The febrile seizure rate was lower than those reported in previous works.


REFERENCES

  1. Soto-Chávez V, Ceja-Moreno H, Soto-Mancilla JL, Pérez RD. Perfil epidemiológico de los niños con epilepsia. Arch Invest Pediatr Mex. 2003; 3: 395-400.

  2. Pohlmann-Eden B, Beghi E, Camfield C, Camfield P. The first seizure and its management in adults and children. BMJ. 2006; 332: 339-42.

  3. Hirtz D, Thurman DJ, Gwinn-Hardy K, Mohamed M, Chaudhuri AR, Zalutsky R. How common are the “common” neurologic disorders? Neurology. 2007; 68: 326-37.

  4. Kurtz Z, Tookey P, Ross E. Epilepsy in young people: 23 year follow up of the British national child development study. BMJ. 1998; 33: 339-42.

  5. Adams S, Knowles PD. Evaluation of a first seizure. Am Fam Physician. 2007; 75: 1342-7.

  6. Cruz-Alcalá LE, Vázquez-Castellanos JL. Prevalencia de algunas enfermedades neurológicas en la ciudad de Tepatitlán Jalisco, México. Rev Mex Neurocir. 2002; 3: 71-6.

  7. Salazar ZA, Ramos DEE, Aguilar HR, Hernández PJ. Incidencia de epilepsia en el Hospital Central Militar de 1996 a 2001. Estudio retrospectivo de revisión. Rev Neurol Neurocir Psiquiatr. 2004; 37: 19-24.

  8. Preux PM, Druet-Cabanac M. Epidemiology and aetiology of epilepsy in Sub-Saharan Africa. Lancet Neurol. 2005; 4: 21-31.

  9. Chung B, Wong V. Relationship between five common viruses and febrile seizure in children. Arch Dis Child. 2007; 92: 589-93.

  10. Van Zeijl JH, Mullart RA, Borm GF, Galam JMD. Recurrence of febrile seizures in the respiratory season is associated with influenza A. J Pediatr. 2004; 145: 800-5.

  11. Davilat-Ramos M, Rivera-Gómez G, Gómez-Muñoz V, Sepúlveda-Olmos JP. Mortalidad en niños con epilepsia. Estudio clínico prospectivo. Acta Neurol Colombia. 2004; 20: 51-61.

  12. Rantala H, Ingalsvo H. Occurrence and outcome of epilepsy in children younger than 2 years. J Pediatr. 1999; 135: páginas.

  13. Manfredini R, Vergine G, Boari B, Faggioli R, Borgna-Pignatti C. Circadian and seasonal variation of first febrile seizures. J Pediatr. 2004; 145: 838-9.

  14. Lee W, Ong H. Afebrile seizures associated with minor infection: comparison with febrile seizures and unprovoked seizures. Pediatr Neurol. 2004; 31: 157-64.

  15. Hauser WA, Rich SS, Lee JRJ, Anneger JF, Anderson VE. Risk of recurrent seizures after two unprovoked seizures. N Engl J Med. 1998; 338: 429-34.




2020     |     www.medigraphic.com