All issues > Volume 33(6); 1990

Original Article

J Korean Pediatr Soc. 1990;33(6):790-798. Published online June 30, 1990.

Clinical Study of Status Epilepticus in Children.

Se Chang Hamm¹, Chan Young Kim¹

¹Department of Pediatrics, College of Medicine, Pusan National University, Pusan, Korea

Received: January 15, 1990;  Accepted: March 15, 1990.

Abstract

The authors analyzed the causes, clinical manifestations, courses and outcomes in 29 children with status epilepticus who were admitted at Pusan National University Hospital between January 1980 and June 1989. The results were summarized as follows: 1) In sezure disorder, the incidence of status epilepticus was 7.1%. Status epilepticus was occured throughout childhood without age prevalence and the incidence male to female ratio was 3.1:1. 2) The causes of status epilepticus were classified as idiopathic in 13 cases (44.9%), acute sympto- matic in 10 cases (34.5%), febrile in 3 cases, remote symptomatic in 2 cases, and progressive encephalopathy in 1 cases. Fifteen children had previous seizure history and in fourteen children, status epilepticus was the first attack of seizure. 3) In seizure types, generalized tonic-clonic type was the most common as 19 cases (65.5%), generalized tonic type 4 cases (13.8%) and secondary generalization 3 cases (10.3%) in orders. 4) On admission, hyperthermia was in 21 cases (72.4%). Peripheral blood leukocytosis in 12 cases (41.4%) and abnormal CSF pleocytosis in 7 cases. 5) Neurologic sequelae, discharge against advice or death were occured in 7(35.0%) of 20 children lasting within 12 hours and all cases whose seizure were lasting over 12 hours. 5 cases were died, so mortality rate was 17.2%. 6) Prior or new neurologic abnormality was the most common in idiopathic group. Sequelae following status epilepticus were mental retardation, recurrent seizure, hemiplegia and the most common type of recurrent seizure was generalized tonic-clonic type.

Keywords :Status Eeilepticus