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First afebrile seizures: Clinical and radiological view with emergent testing

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dc.contributor.authorYAPICI, ÖZGE
dc.contributor.authorsAksu Uzunhan T., Kacar A., Misirli Ozdemir E., YAPICI Ö.
dc.date.accessioned2022-12-27T13:30:05Z
dc.date.available2022-12-27T13:30:05Z
dc.date.issued2022-01-01
dc.description.abstractBackground The first afebrile seizures in children are an important and common reason for emergency department admissions. We aim to examine the presentation, laboratory/neurodiagnostic investigation, and emergency management of children with first afebrile seizures. Methods The retrospective study included 333 patients aged 1 month to 18 years admitted with a first afebrile seizure to the pediatric emergency department of Prof. Dr. Cemil Tascioglu City Hospital between January 2017 and January 2020. Age, gender, seizure duration and type, treatments for seizures, laboratory, neurophysiological, and radiological investigations, ward or intensive care unit hospitalizations, and antiepileptic drugs on discharge were recorded. Results The average age of the patients was 81.6 +/- 62.9 months; 187 (56.2%) were male and 146 (43.8%) were female. Two hundred and sixty-one (78.4%) patients had only one seizure. In 45 (13.5%) of the patients, the seizure recurred in the emergency department. Hypoglycemia, hyponatremia, and hypocalcemia were detected in 13 (3.9%) patients. Patients with clinically significant cranial computed tomography results were at an increased risk for seizures lasting longer than 5 min. Patients with focal seizures had more recurrences, were given more antiepileptic drugs during the emergency, had better known etiology, more intensive care unit hospitalization, and greater post-discharge antiepileptic drug prescription. Conclusions Biochemical abnormalities remain in the background in the etiology of afebrile seizures. Patients with abnormal neuroimaging on cranial tomography tended to have longer seizures. Patients with focal seizures followed a more complicated course as they had more recurrences and more hospitalization in the intensive care unit.
dc.identifier.citationAksu Uzunhan T., Kacar A., Misirli Ozdemir E., YAPICI Ö., "First afebrile seizures: Clinical and radiological view with emergent testing", PEDIATRICS INTERNATIONAL, cilt.64, sa.1, 2022
dc.identifier.doi10.1111/ped.15089
dc.identifier.issn1328-8067
dc.identifier.issue1
dc.identifier.urihttps://hdl.handle.net/11424/284282
dc.identifier.volume64
dc.language.isoeng
dc.relation.ispartofPEDIATRICS INTERNATIONAL
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTıp
dc.subjectDahili Tıp Bilimleri
dc.subjectÇocuk Sağlığı ve Hastalıkları
dc.subjectSağlık Bilimleri
dc.subjectMedicine
dc.subjectInternal Medicine Sciences
dc.subjectChild Health and Diseases
dc.subjectHealth Sciences
dc.subjectPEDİATRİ
dc.subjectKlinik Tıp
dc.subjectKlinik Tıp (MED)
dc.subjectPEDIATRICS
dc.subjectCLINICAL MEDICINE
dc.subjectClinical Medicine (MED)
dc.subjectPediatri
dc.subjectPediatri, Perinatoloji ve Çocuk Sağlığı
dc.subjectPediatrics
dc.subjectPediatrics, Perinatology and Child Health
dc.subjectchild
dc.subjectcranial computed tomography
dc.subjectfirst afebrile seizure
dc.subjectintensive care unit
dc.subjectstatus epilepticus
dc.subjectBRAIN COMPUTED-TOMOGRAPHY
dc.subjectNEW-ONSET
dc.subjectRISK-FACTORS
dc.subjectSTATUS EPILEPTICUS
dc.subjectAMERICAN ACADEMY
dc.subjectCHILDREN
dc.subjectABNORMALITIES
dc.subjectSUBCOMMITTEE
dc.subjectINFANTS
dc.titleFirst afebrile seizures: Clinical and radiological view with emergent testing
dc.typearticle
dspace.entity.typePublication
local.avesis.id00de4d69-131e-42f6-82b7-4c1cfb07cf62
local.indexed.atWOS
local.indexed.atPUBMED
local.indexed.atSCOPUS
relation.isAuthorOfPublication9d76c38f-c38c-4924-ac45-6df30d814af8
relation.isAuthorOfPublication.latestForDiscovery9d76c38f-c38c-4924-ac45-6df30d814af8

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