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Benign convulsions associated with mild gastroenteritis: a multicenter clinical study

Verrotti, Alberto and Nanni, Giuliana and Agostinelli, Sergio and Parisi, Pasquale and Capovilla, Giuseppe and Beccaria, Francesca and Iannetti, Paola and Spalice, Alberto and Coppola, Giangennaro and Franzoni, Emilio and Gentile, Valentina and Casellato, Susanna and Veggiotti, Pierangelo and Malgesini, Sara and Crichiutti, Giovanni and Balestri, Paolo and Grosso, Salvatore and Zamponi, Nelia and Incorpora, Gemma and Savasta, Salvatore and Costa, Paola and Pruna, Dario and Chiarelli, Francesco (2011) Benign convulsions associated with mild gastroenteritis: a multicenter clinical study. Epilepsy Research, Vol. 93 (2-3), p. 107-114. eISSN 1872-6844. Article.

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DOI: 10.1016/j.eplepsyres.2010.11.004

Abstract

Purpose: To assess the clinical characteristics and the outcome of benign convulsions associated with mild gastroenteritis (CwG) in Italian children.
Methods: We studied clinical and EEG features of 128 children with CwG who were hospitalized between January 2004 and February 2008 and then followed for at least 12 months in 14 Italian centers.
Results: Age at onset ranged from 6 to 60 months. The seizures were generalized in 73 cases (57%), only focal in 16 (12.5%), and secondarily generalized in 39 (30.5%). The duration of the seizures was under 5min in 97 patients (75.8%), between 5 and 30min in 26 (20.3%), and longer than 30min in 5 (3.9%). Seventy-three participants (57%) had 2 or more seizures, which recurred within 24–48h. In the acute phase, antiepileptic drugs were used in 72 patients (56.3%). Although interictal abnormalities were present in EEG of 28 children (21.9%), these reverted to normal. During the follow up period, only 6 patients (4.7%) suffered from recurrence of CwG, 7 (5.5%) suffered from simple febrile seizures, and 3 (2.3%) developed epilepsy.
Conclusions: Recognition of CwG in children allows pediatricians to avoid extensive evaluations and continuous antiepileptic therapy and to reassure parents regarding the lack of long-term complications.

Item Type:Article
ID Code:5450
Status:Published
Refereed:Yes
Uncontrolled Keywords:Afebrile seizures, gastroenteritis, rotavirus, antiepileptic drugs, ictal EEG
Subjects:Area 06 - Scienze mediche > MED/26 Neurologia
Divisions:001 Università di Sassari > 03 Istituti > Neuropsichiatria infantile
Publisher:Elsevier
eISSN:1872-6844
Copyright Holders:© 2010 Elsevier
Deposited On:21 Feb 2011 09:18

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