All issues > Volume 30(3); 1987

Original Article

J Korean Pediatr Soc. 1987;30(3):297-304. Published online March 31, 1987.

Clinical Studies on Febrile Convulsion in Children.

Kang Ho Kim¹, In Kwyu Park¹, Young Bong Park¹, Jin Heon Kim¹, Chang Soo Ra¹

¹Department of Pediatrics, College of Medicine, Chosun University, Kwangju, Korea

Abstract

We have analyzed the clinical and laboratory findings of 204 patients with febrile convulsion, who were admitted to the Department of Pediatrics, Chosun University Hospital from Jan. 1976 to Dec. 1985. The results obtained were as follows: 1) In sex distribution, the boys(65.6%) outnumbered the girls(34.4%) and the ratio was 1.9:1. 2) 78.9% of the patients with febrile convulsion were from 6 months to under 4 years of age at the first episode of the febrile convulsion. 3) The incidence of a family history of convulsion was 3.4%: febrile convulsion in 2.4%, afebrile convulsion in 1.0%. 4) The types of convulsion were tonic in 51.4%, tonic and clonic in 35.3% and clonic in 11.8%. 5) The most common cause of febrile convulsion was pharyngotonsillitis(41.6%) and the next was acute gastroenteritis(27.5%) and pneumonia(15.2%) in order of frequency. 6) The monthly occurrence rate of the patients with febrile convulsion was higher in April, May, June and September than in other months. 7) The EEG findings were normal in 73.2% and abnormal in 26.8% of total cases. The most commo abnormal EEG finding in febrile convulsion was slow wave(36.3%) and the least was spike and complex(9.1 %) or paroxysmal rhythmic wave(9.1%). 8) During the follow up at O.P.D., 22 children of 43 patients were treated with prophylactic anticonvulsant medicine.

Keywords :Febrile convulsion, EEG findings.