Clinical and Electroencephalography Profile in “Febrile Seizures in Children Aged between 6 To 12 Years”

ABSTRACT

Introduction: Febrile seizures are the commonest epilepticdisorder in children aged till 5 years. In some children febrileseizure tend to occur after the age of 6 years, although wellreported phenomenon the Clinical and EEG features is lessclear. Study aimed to analyse the Clinical and EEG profile infebrile seizures in Children aged between 6 to 12 years.Material and methods: All patients - Typical and AtypicalFebrile seizures in the age group 6-12 years attending thetertiary referral centre in eastern Tamilnadu were included.Patients with structural lesions, CNS infections and thosewith previous afebrile seizures were excluded. 30 Subjectsfulfilling the criteria were included in the study. A carefulneurological examination with appropriate laboratory tests,imaging and EEG was performed.Results: Out of 30 children 22 were in the 6-9 age group andrest in 10-12 age group.12 girls and 18 boys comprised thestudy group. 22 subjects (73.3%) presented with GTCS, 3with focal seizures and 5 with febrile status. Family historyof febrile seizure was present in 40% and family historyof epilepsy in 26.6%. 4 children (13.3%) had behaviouralproblem and 33% had learning difficulty. EEG was abnormalin 60% of study population. Hyponatremia was found in36.7% of the subjects. Imaging abnormality was noted in 3subjects.Conclusion: Abnormal EEG had significant positiveassociation with learning difficulty (p<0.05). Hyponatremiahad significant association with occurrence of febrile status.