Convulsiones benignas durante gastroenteritis leve por rotavirus / Benign convulsions with mild rotavirus gastroenteritis

Introducción. Las convulsiones benignas durante gastroenteritis leve (CBG) son una entidad poco diagnosticada en países occidentales, caracterizada por crisis ictales afebriles, a menudo más de una, en el transcurso de una infección gastrointestinal sin afectación hidroelectrolítica grave. El virus más comúnmente implicado es el rotavirus. Se trata de una entidad benigna a pesar de la agrupación de crisis, y no requiere habitualmente exploraciones complementarias ni tratamiento antiepiléptico mantenido. Pacientes y métodos. Se aportan siete casos de CBG por rotavirus en pacientes con edades comprendidas entre 6 y 27 meses. Resultados. Cuatro de los pacientes presentaron más de una crisis, y todas las convulsiones hipermotoras fueron generalizadas. La gastroenteritis por rotavirus fue leve y sólo en uno de los casos había motivado ingreso antes de la aparición de la crisis. En todos los casos en los que se realizó punción lumbar o neuroimagen, éstas fueron normales. El electroencefalograma fue normal en todos los casos, excepto en un paciente con ondas agudas frontales, que desaparecieron en un control posterior. Ningún paciente ha mostrado recurrencia de crisis ni alteración en su desarrollo. Conclusiones. Las CBG por rotavirus estén posiblemente infradiagnosticadas y quizás clasificadas entre otras entidades como crisis febriles atípicas, estatus febriles o epilepsias parciales benignas de infancia temprana. Debe tenerse en cuenta la existencia de esta entidad de curso benigno para un correcto manejo y pronóstico (AU)

Introduction. Benign convulsions with mild gastroenteritis (CwG) are a rare diagnosis in Western countries, and it is characterized by afebrile seizures, almost times more than once, during a gastroenteritis without severe hydroelectrolitic affection. The most frequent implied virus is rotavirus. This is a benign disease, in spite of cluster seizures, and neither complementary explorations nor antiepileptic treatment is required. Patients and methods. Seven cases between 6 and 27 months aged of CwG due to rotavirus are reported. Results. Four patients had more than one seizure, and all convulsions were generalized hypermotor type. Rotavirus gastroenteritis was mild in all cases; only one patient was admitted for hospitalizationbefore seizures appearance. There were no findings in all cases with lumbar punction or brain neuroimaging. Electroencephalogram was normal in all cases, except in one patient who showed frontal acute waves, which disappeared in a later examination. No patients have shown seizure recurrence or development delay. Conclusions. CwG due to rotavirus are possibly infradiagnosed, and perhaps classified as atypical febrile seizures, febrile status or early infancy benign partial epilepsy. This benign diagnosis should be considered for a correct management and prognosis (AU)

[Benign convulsions with mild rotavirus gastroenteritis]. / Convulsiones benignas durante gastroenteritis leve por rotavirus.

INTRODUCTION: Benign convulsions with mild gastroenteritis (CwG) are a rare diagnosis in Western countries, and it is characterized by afebrile seizures, almost times more than once, during a gastroenteritis without severe hydroelectrolitic affection. The most frequent implied virus is rotavirus. This is a benign disease, in spite of cluster seizures, and neither complementary explorations nor antiepileptic treatment is required. PATIENTS AND METHODS: Seven cases between 6 and 27 months aged of CwG due to rotavirus are reported. RESULTS: Four patients had more than one seizure, and all convulsions were generalized hypermotor type. Rotavirus gastroenteritis was mild in all cases; only one patient was admitted for hospitalization before seizures appearance. There were no findings in all cases with lumbar punction or brain neuroimaging. Electroencephalogram was normal in all cases, except in one patient who showed frontal acute waves, which disappeared in a later examination. No patients have shown seizure recurrence or development delay. CONCLUSIONS: CwG due to rotavirus are possibly infradiagnosed, and perhaps classified as atypical febrile seizures, febrile status or early infancy benign partial epilepsy. This benign diagnosis should be considered for a correct management and prognosis.

Reinervación sensitiva en implante digital / Sensory re-innervation in implants of the digits

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