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Long-term follow-up in children with benign convulsions associated with gastroenteritis

Verrotti, Alberto and Moavero, Romina and Vigevano, Federico and Cantonetti, Laura and Guerra, Azzurra and Spezia, Elisabetta and Tricarico, Antonella and Nanni, Giuliana and Agostinelli, Sergio and Chiarelli, Francesco and Parisi, Pasquale and Capovilla, Giuseppe and Beccaria, Francesca 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 Cusmai, Raffaella (2014) Long-term follow-up in children with benign convulsions associated with gastroenteritis. European journal of paediatric neurology, Vol. 18 (5), p. 572-577. ISSN 1090-3798. eISSN 1532-2130. Article.

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DOI: 10.1016/j.ejpn.2014.04.006

Abstract

Background: The outcome of benign convulsions associated with gastroenteritis (CwG) has generally been reported as being excellent. However, these data need to be confirmed in studies with longer follow-up evaluations.
Aim: To assess the long-term neurological outcome of a large sample of children presenting with CwG.
Methods: We reviewed clinical features of 81 subjects presenting with CwG (1994–2010) from three different Italian centers with a follow-up period of at least 3 years.
Results: Follow-up period ranged from 39 months to 15 years (mean 9.8 years). Neurological examination and cognitive level at the last evaluation were normal in all the patients. A mild attention deficit was detected in three cases (3.7%). Fourteen children (17.3%) received chronic anti-epileptic therapy. Interictal EEG abnormalities detected at onset in 20 patients (24.7%) reverted to normal. Transient EEG epileptiform abnormalities were detected in other three cases (3.7%), and a transient photosensitivity in one (1.2%). No recurrence of CwG was observed. Three patients (3.7%) presented with a febrile seizure and two (2.5%) with an unprovoked seizure, but none developed epilepsy.
Conclusions: The long-term evaluation of children with CwG confirms the excellent prognosis of this condition, with normal psychomotor development and low risk of relapse and of subsequent epilepsy.

Item Type:Article
ID Code:9855
Status:Published
Refereed:Yes
Uncontrolled Keywords:Seizures, gastroenteritis, anti-epileptic drugs, long-term follow-up, seizure relapse
Subjects:Area 06 - Scienze mediche > MED/26 Neurologia
Divisions:002 Altri enti e centri di ricerca del Nord Sardegna > AOU -Azienda Ospedaliero Universitaria, Sassari
Publisher:Elsevier
ISSN:1090-3798
eISSN:1532-2130
Copyright Holders:© 2014 European Paediatric Neurology Society. Published by Elsevier Ltd. All rights
Deposited On:06 Jun 2014 12:39

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