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Brain Dev ; 40(4): 311-315, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29277331

RESUMO

OBJECTIVE: To define the role of the EEG in predicting recurrence of febrile seizures (FS) in children after a first FS. METHODS: Children with a first simple or complex FS who underwent EEG at our hospital were retrospectively enrolled. EEG recordings were classified in three groups: normal, abnormal (slow activity or epileptiform discharges), and pseudo-petit mal discharge (PPMD) pattern. Children were followed-up for at least three years. RESULTS: A total of 126 patients met the entry criteria, and 113 of them completed the follow-up. Risk of FS recurrence decreased linearly with increasing age (-2% per month). The risk was higher among patients with PPMD pattern (absolute risk 86%, adjusted relative risk 2.00) and abnormal EEG (epileptiform discharges: absolute risk 71%, adjusted relative risk 2.00; slow activity: absolute risk 56%, adjusted relative risk 1.44), compared with those with normal EEG (absolute risk 41%). CONCLUSIONS: PPMD and abnormal EEG should be considered as an independent risk factor for FS recurrence.


Assuntos
Eletroencefalografia , Convulsões Febris/diagnóstico , Fatores Etários , Encéfalo/fisiopatologia , Criança , Pré-Escolar , Seguimentos , Humanos , Lactente , Modelos Lineares , Prognóstico , Recidiva , Estudos Retrospectivos , Fatores de Risco , Convulsões Febris/fisiopatologia
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