RESUMO
RESUMEN Una primera crisis epiléptica es un hecho que impacta la vida de quien la padece y su entorno debido a que se relaciona con la posibilidad de que sea una manifestación de la Epilepsia. Es una de las principales causas de consulta en el servicio de urgencia, por lo cual neurólogos y médicos generales deben tener un conocimiento básico y global de ésta. Sin embargo existen factores (crisis provocada o no provocada, riesgo de recurrencia) que permitirán al clínico diagnosticar con certeza epilepsia con la finalidad de instaurar un tratamiento farmacológico oportuno que reduzca las posibilidades de una nueva crisis además permita resolver las dudas que tienen los pacientes al respecto de esta enfermedad.
SUMMARY First epileptic seizure is a fact that impacts the life of who suffers and its environment as a relationship with the possibility of a manifestation of epilepsy. It is one of the main causes of consultation in the emergency service, so neurologists and general doctors must have a basic and global knowledge of this. However, there are factors (provoked or unprovoked seizures, risk of recurrence) that it will allow to diagnose of epilepsy with the aim of establishing a timely pharmacological treatment that reduces the possibilities of a new crisis also to resolve the doubts that patients have regarding this disease.
RESUMO
Background: Seizure is a commonly encountered problem in pediatric practice. Convulsive disorder constitutes a heterogeneous group with a varied etiology. Arriving at the cause of seizure is important as it plays a vital role in managing the child. Chances of recurrence to be analyzed, after the first episode of seizure for management. The aim was to study the etiology and the causes of recurrence after a first episode seizure.Methods: A prospective observational study was done on 135 children for a period of two months admitted in tertiary care center. Proper history, complete neurological and other systemic examinations was done. Blood investigations and imaging with EEG was done when indicated. All children were classified according to International League against epilepsy and followed up for recurrence rate and history leading to recurrence. Co- relation between recurrence and risk factors was analyzed.Results: Electroencephalogram tracing was abnormal in 62 out of 105 children. 19 out of 62 had recurrence while only 2 among 43 normal EEG had recurrence. This was statistically significant (P value 0.001). Children with remote symptomatic etiology constitutes the majority in those with abnormal EEG tracings. In children with remote symptomatic etiology, only one child had normal EEG. Remote symptomatic had higher number of abnormal EEG when compared to others and was found to have more recurrence.Conclusions: Children with EEG abnormalities after the first episode of afebrile seizure have more chance of recurrence. Children with seizure secondary to remote symptomatic etiology had more recurrences.