Study of Etiological, Clinical And Radiological Profile Of Patients Admitted With Seizure In Pediatric Age Group

Abstract

Introduction: Seizures account for about 2% of children’s hospital emergency department visits. The incidence is highest in children less than 3 years of age, with a decreasing frequency in older children.
In this study, we studied the prevalence of various etiologies, the clinical spectrum of seizure and radiological profile of children admitted in UP UMS Saifai Etawah.
Aims & Objectives:
1. To study etiology of seizure in pediatric age group
2. To evaluate clinical spectrum of seizure.
3. Evaluation of radiological findings in seizure patients.
4. Evaluation of electroencephalographic finding of seizure patients.
Materials & Methods: It was a Prospective Cross sectional study carried out in the departments of pediatrics, neurology and radio diagnosis of U.P. UMS Saifai Etawah on 256 Children aged between 3 months to 14 years with complaint of seizure between January 2015- July 2016.
Detailed history with complete neurological and other systemic examination was done to determine associated neuroimpairments
Statistical analysis was done using Chi Square test.
Observations: Most common clinical feature was Fever (79.29%), followed by Vomiting (45.70%) and Headache (37.57%) while least common clinical feature was fever with rashes (0.78%).
Most common etiology in study population was TBM (n=46; 17.97%) followed by viral meningoencephalitis ( n=31; 12.1%) while least common etiology in study population was CVA (n=2; 0.78).
Conclusion: It can be summarized from our study that most of acute symptomatic seizures are caused by CNS infections like meningitis and encephalitis, febrile seizures neurocysticercosis, which can be prevented with improvement in health care facilities.