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Clinical Studies on Risk Facotrs of Recurrnces after first Febrile Convulsions in Infancies and Early Childhood

Journal of the Korean Pediatric Society 1994;37(6):786-793.
Published online June 15, 1994.
Clinical Studies on Risk Facotrs of Recurrnces after first Febrile Convulsions in Infancies and Early Childhood
Hee Kyung Chun, Hyun Ki Joo, Mi Soo Ahn, Ji Sub Oh
Department of Pediatrics, Wallace Memorial Baptist Hospital, Pusan, Korea
소아기의 열성 경련의 재발에 관한 임상적 고찰
전희경, 주현기, 안미수, 오지섭
왈레스 기념 침례회 병원 소아과
Abstract
The aim of this study was to evaluate the risk factors of recurrences after their first febrile convulsions in infants and young children. Dlinical studies were made on 187 cases of febrile convulsions who were admitted to the department of pediatrics of Wallace Memorial Baptist Hospital from March, 1990 to December, 1992 1) 63 cases of 187 cases had recurrences after their febrile convulsions. Thus, the recurrence rate was 33.7% 2) The male to female ratio was 2.1:1. And there were no significant differences in recurrence rates between sexes. 3) The recurrence rate was significantly higher in those whose initial febrile convulsions were developed before first 18 months of life than those whose initial convulsions were after 18 months of age (49.3% vs. 12.5%) 4) The time interval from initial attack to recurrence was within 12 months in 80% of cases. 5) Our study revealed that the seizure characteristics of he initial febrile convulsion are not important as predictive factors about the probability of recurrences. 6) Among the total 187 cases, family history were present in 52 cases (27.8%). And there were significantly higher recurrence rates if their families show the same history of febrile convulsion (63.5% vs. 22.2%) 7) The risk of recurrence was much higher in patients whose first febrile history of febrile convulsion at the same time.
Key Words: Febrile Convulsion, Recurrence


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