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Clinical Studies of Convulsive Diseases in Children.

Journal of the Korean Pediatric Society 1984;27(2):156-163.
Published online February 28, 1984.
Clinical Studies of Convulsive Diseases in Children.
Kyung Ho Kim, Young Kyoung Park, Ki Bok Kim
Department of Pediatrics Kwangju Christian Hospital
소아 경련성 질환의 임상관찰
김경호, 박영경, 김기복
광주기독병원 소아과
The authors reviewed 371 pediatric convulsive patients admitted to the Department of Pediatrics, Kwangju Christian Hospital during the 3-year-period from Oct. 1st, 1979 through Sep. 30th, 1982. There were 227 boys and 144 girls. The following observations are made: 1)The most common cause of convulsions in children was encephalitis (20.0%), followed by menigitis(18.3%), febrile convulsion(18.1%), and idiopathic epilepsy (12.4%). 2)Convulsions were most frequent in children from 6 to 15 years of age, amounting to 51.0% of all cases. 3)In sex distribution, male ratio was 1.6 : 1. 4)The most common cause of convulsions in the neonatal period was neonatal tetanus (43.2%), followed by birth trauma(15.9%) and kernicterus( 11.4%). 5)Convulsions from menigitis were most common in children from 1 months to 6 months of age. 6)The most common cause of convulsion in children 6 months to 2 years of age was febrile convulsion(42.5%), followed by meningitis(26.5%) and shigellosis (10.3%). 7) Convulsions from encephalitis were most common in children from 4 years to 15 years of age. 8)The seasonal occurence rate of convulsive children, except for encephalitis patients, was higher in spring(33.7%) and autumn(29.3%) than in other seasons. 9)Common accompanying symptoms in patients with febrile convulsion were those of the respiratory tract, of E.N.T., and of gastrointestinal tract, which were usually improved within 4 days after admission. 10) The overall mortality rate of convulsive patients was 7.6%.
Key Words: Convulsive diseases, clinical study

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