All issues > Volume 27(7); 1984

Original Article

J Korean Pediatr Soc. 1984;27(7):718-724. Published online July 31, 1984.

Role of Lumbar Puncture in Children with First Febrile Convulsion.

Kyu Chul Choi, Byoung Soo Cho, Sa Jun Chung, Yong Mook Choi, Chang Il Ahn

¹Department of Pediatrics, College of Medicine, Kyung Hee University, Seoul, Korea

Abstract

To assess the role of lumbar puncture in the children with their first febrile convulsion, the results of lumbar puncture in 154 children for a 3-year period were reviewed. In the frequency of the causes of febrile convulsion, meningitis and encephalitis were the most common (34.4%) and upper respiratory tract infection was the next(26.0%). The comparison and observations between the risk factors in febrile convulsion and the findings of lumbar puncture were done. The positive lumbar puncture was more probable in the cases which were having complex febrile convulsion occurred 24 hours after the onset of fever with abnormal EEG finding(p<0.005). Two children less than 15 months old had simple febrile convulsion on admission but were confirmed to have tuberculous meningitis and aseptic meningitis, respectively. We suggest that lumbar puncture should be performed in those children presenting with their first febrile convulsion under the age of 15 months.

Keywords :Febrile convulsion; Lumbar puncture