| A Clinical Study on Febrile Convulsion |
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Jung Hwan Lee, Ki Hwan Yoo, Yong Sook Hong, Joo Won Lee, Soon Kyum Kim |
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Department of Pediatrics, College of Medicine, Korea University Hospital, Seoul, Korea |
| 열성 경련에 관한 임상적 고찰 |
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이정화, 유기환, 홍영숙, 이주원, 김순겸 |
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고려대학교 의과대학 소아과학교실 |
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| Abstract |
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Although febrile convulsion(FC) is a common clinical entity with a high recurrence rate, no specific factors have been identified to be highly predictive of its recurrence.
A total to 114 cases of FC identified during a 28 month period (January, 1989-May, 1991) was analysed.
A silght predominance of boys over girls(1.3 to 1.0) was observed. The majority of cases(89.4%) were under 3 years of age and the most common age range for the onset of FC was 1~2 yeart
The most common form of FC was tonic type(54.0%), followed by tonic clonic(32.5%0, clonic(5.3%), and complex partical type(5.3%).
Most FC episodes lasted less than 5 minutes(81.6%), and common clinical diagnosis underlying FC were as follows: pharyngotosillitis(64.0%), bronchitis and /or pneumonia(1.67%), and gastoenteritis(9.7%).
The family history for seizure disorder was present in 27.2% of cases: FC in 21.1%, epiepsy in 4.4%, and both in 1.8%.
Among 78 cases of the first FC, 43 cases were followed for 5 to 29 months without prophylactic anticonvulsant therapy.
The overall recurrence rate of FC in this group was 67,4% and the highest incidence was observed in patients less than one year old*86.7%)
A higher recurrence rate(80%) was observed in patients whose body temperature was lower than 39℃, as opposed to higher than 39℃(50%)
It is concluded that the recurrence of FC is positively correlated with factors such as younger age(less than one year old), and lower body temperature at the time of onset of FC. |
| Key Words:
Febrile convulsion, Recurrence |
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