What is it about?
We studied 75 consecutive infants with their first seizure. Work-up for etiology, and electroencephalography were performed in all infants. Developmental assessment was done 3-month after discharge. 3/4th had generalized seizures, and fever was the commonest co-morbidity (57.3%). Two-third had provoked seizures, mainly due to hypocalcemia (34.3%) or neuroinfections (29.3%). Seven (9.3%) infants died during hospital stay; mostly those with neuro-infections. One-fifth infants had developmental delay.
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Why is it important?
Not much information from India is available on this aspect. High occurrence of easily treatable conditions like hypocalcemia underscores the importance of this study findings for the general pediatrician.
Perspectives
High occurrence of developmental delay 3-month later was an unexpected finding for me. Now we call back all isolated seizure infants for a follow-up developmental examination, and intervention, if needed.
Dr Devendra Mishra
Maulana Azad Medical College
Read the Original
This page is a summary of: Research letters, Indian Pediatrics, October 2016, Springer Science + Business Media,
DOI: 10.1007/s13312-016-0962-5.
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