Febrile Convulsions: The Role Played by Paraclinical Evaluation
نویسندگان
1 MD,Pediatric Resident, Shahid Beheshti Medical University
2 MD,Associate Professor, of Pediatric Neurology Department, Shahid Beheshti Medical University
3 MD,Assistant Professor of pediatric infectious disease,Pediatric Infectious Research Center(PIRC)
doi
10.22037/ijcn.v2i4.558چکیده
ObjectiveThis survey evaluates the necessity of biochemical and imaging findings for patients with initial diagnosis of febrile convulsion, and also aims at determining the degree to which results of paraclinical examinations delineate management of patients.Materials & MethodsData of 302 patients referred to Mofid Children Hospital during two years (2005-2006) for febrile convulsions (FC), were collected in formatted questionnaires and analyzed.ResultsAbnormal lumbar punctures were reported in 9 patients, 3 of which had bacterial meningitis (1%). Biochemical tests including sodium, potassium, calcium, urea and glucose measurement, were performed for 289 (of 302 patients); of these 289, 9 cases were reported with hyponatremia, one casewith hypokalemia and one case with hypocalcemia. Brain CT was done in 51 cases and the results were abnormal in 4%, included a patient with status epilepticus.ConclusionConsidering the results obtained from data, we suggest that most of the paraclinical examinations are not needed for Febrile Convulsions (FC), for simple FC, in particular.
