| A Study on thePredisposing Factors to Complex Febrile Convulsion |
|
Ge Woo Yi, Dong Wook Kim |
|
Department of Pediatrics, Gyeongsang National University College of Medicine, Chinju, Korea |
| 복합 열성 경련의 소인에 대한 연구 |
|
이계우, 김동욱 |
|
경상대학교 의과대학 소아과학교실 |
|
|
|
|
| Abstract |
Purpose
: Febrile convulsion is classified as simple or complex type, the latter being characterized by frequent recurrence of febrile convulsion itself and progression to epilepsy. This study was performed to seek the predisposing factors to complex febrile convulsion.
Methods
: This study was retrospectively undertaken to review medicalrecords of
472 children under 15 years of age with febrile convulsions, who were diagnosed at
Gyeongsang National University Hospital during 5 years from March 1990 to February
1995. We evaluated the clinical informations such as sex, age, cause of fever, past
medical history, family history, and EEG finding, which were suspected to be
predisposing to complex febrile convulsion. Statistical analyses were performed using
x2-test.
Results
: There were 199 (42.16%) children with complex febrile convulsions and 273
(57.84%) with simple febrile convulsions. In children under 1 year of age complex febrile convulsion occurred more frequently in 64 of 113 (56.64%) than in children over 1 year of age in 137 of 359 (37.60%)(p<0.05). Upper respiratory tract infection was the most common cause of fever in our cases. In children with acute gastroenteritides complex febrile convulsion developed more frequently in 31 of 53 (58.49%) than in children with other causes of fever in 26 of 48 (54.17%) (p<0.05).In children who were born prematurely, showed developmental delays, or had previous brain injury histories, complex febrile convulsion occurred in 6 of 9 (66.67%), in 13 of 20 (65.00%), or in 4 of 5 (80.00%), respectively. There was no significant difference in the frequency of complex febrile convulsion according to sex, past medical history of delivery type or previous febrile convulsion, familial history of febrile or nonfebrile convulsion, and EEG finding.
Conclusion
: Complex febrile convulsion developed significantly more frequently in
chidren whose age were under 1 year or who had acute acute gastroenteritides as the
causes of their fever. Although complex febrile convulsion also occurred more frequently in children who were born prematurely, showed developmental delays, or had previous brain injury histories, its statistical significance could not be proven. |
| Key Words:
Complex febrile convulsion, Predisposing factor |
|
PDF Links
Download Citation
