All issues > Volume 25(4); 1982

Original Article

J Korean Pediatr Soc. 1982;25(4):356-362. Published online April 30, 1982.

Febrile Convulsion.

Ja Young Park, Seung Ju Lee, Keun Lee

¹Department of Pediatirics, College of Medicine, Ewha Womans University Hospital Seoul, Korea.

Abstract

We have observed the clinical findings and progress of the febrile convulsion in 182 children who were admitted to Ewha Womans University Hospital from 1976 to 1980 1) In sex distribution, the boys (65.4%) outnumbered the girls (34.6%). 2) 88% of the children were under 3 years of age at the first epidsode of the febrile convulsion. 3) There was a 22.3% incidence of a family history of convulsions: febrile convulsion in 19.9%, afebrile convulsion in 2.4%. 4) The type of convulsion was tonic in 58.8%, tonic and clonic mixed in 32.4%, clonic in 4.4%, and atonic in 3.3%. 5) The febrile convulsion occured with phryngotonsillitis (54.4%), gastroenteritis (14.3%), pneumonia and bronchitis (13.2%). 6) 39.1% of the children had abnormal electroencephalogram 1 week or longer after the febrile convulsion. Elecroencepahlogram showed slow dysrhythmia in 7 cases, and paroxysmal abnormality in 25 cases. 7) The recurrence rate of the febrile convulsion was 76.5% in 51 children who were followed up at OPD. The recurrence rate had significant correlation with the age at time of the first febrile convulsion and sex. 8) During the follow up at OPD, 29 children of 51 patients were treated with prophylactic anticonvulsant medication. Epilepsy was occured in 3 among in 3 among 51 children.

Keywords :Febrile convulsion;EEG;recurrence;prognosis