Estimation of Hb, MCV, MCH variations in different types of febrile seizures

ABSTRACT

Introduction: Febrile seizures are seizures that occur between the age of 6 and 60 months with a temperature of 38°C (100.4°F) or higher, that are not the result of central nervous system infection or any metabolic imbalance, and that occur in the absence of a history of prior afebrile seizures. Aim of the study To Estimate the HB, MCV, MCH variations in different types of Febrile Seizures. Materials and methods: This case-control study was conducted at the Department of Pediatrics, Tirunelveli Medical College Hospital, Tirunelveli, from 2017-2018.All cases of febrile seizures which include both simple febrile and complex febrile seizures between the age group of 6 and 60 months. The control group includes the children in the same age group with fever but without seizures Results: Among 75 children presenting with febrile seizures, 52 children were presenting with simple febrile seizures (69.3%) and 23 children were presenting with complex febrile seizures. Average mean Hb level in those children presenting with febrile seizures was 10.37 gm. Average mean Hb level in children those who do not have febrile seizures was 11.48 gm. The p-value between the mean Hb level of 2 groups was less than 0.001 which is statistically significant. In children with febrile seizures, the mean MCV was 70.83. In children, those who do not have febrile seizures the mean MCV was 77.89 which was higher than those of children having febrile seizures. The difference between the two groups was statically significant. Average mean of MCH in children with febrile seizures (23.69) was lower than the children those who are presenting without febrile seizures (27.58). Thus the p-value was less than 0.001 which was statistically significant. Conclusion: The hemoglobin levels were significantly lower in the case group compared to the control group. The present study concluded anemia as a risk factor for febrile seizures and emphasizes the importance of prevention and timely intervention and management of Iron deficiency anemia in children to decrease mortality and morbidity associated with febrile seizures.