The Spectrum of Seizure Disorders in Children at a Secondary Care Hospital in Saudi Arabia
DOI:
https://doi.org/10.6000/1929-4247.2023.12.02.4Keywords:
Seizures, children, febrile seizures, epilepsy, Saudi ArabiaAbstract
Objective: This study was conducted to find out the presentation, clinical features, diagnosis, and outcome of seizures in children in a secondary care hospital.
Methodology: This was a prospective, cross-sectional analytical study conducted from September 2018 to April 2020 in a secondary care hospital in the Kingdom of Saudi Arabia. Children presented with seizures to the hospital were included and studied for the demographic profile, clinical presentation, diagnosis, and course of the disease.
Results: A total of 73 cases were included in the study. Out of these, 48 (65.8%) were in the age group of 1-5 years, while 25 (34.2%) were in the age group of 6-14 years. Males were 33 (45.21), while females were 40 (54.8%). More than half of the cases were already diagnosed 43 (58.9). Generalized tonic-clonic seizures were the most common seizure type in the patients. The most common etiology of seizures was febrile seizure, followed by epilepsy.
Conclusion: Seizures in children are not uncommon presentations with varying profiles in various regions of the world. Febrile seizures and epilepsy are the commonest cause of seizures in children. Most seizure disorders have a good prognosis, provided that a comprehensive approach is used for the management.
References
Chen C-Y, Chang Y-J, Wu H-P. New-onset seizures in pediatric emergency. Pediatrics & Neonatology 2010; 51(2): 103-11. https://doi.org/10.1016/S1875-9572(10)60019-8
Al Rajeh S, Awada A, Bademosi O, Ogunniyi A. The prevalence of epilepsy and other seizure disorders in an Arab population: a community-based study. Seizure 2001; 10(6): 410-4. https://doi.org/10.1053/seiz.2001.0602
Saravanan S. Profile of children admitted with seizures in a tertiary care hospital in South India. IOSR Journal of Dental and Medical Sciences 2013; 11(4): 56-61. https://doi.org/10.9790/0853-1145661
West BA. Pattern and Impact of Childhood Seizure Disorders in Port Harcourt, Nigeria. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) 2019; 18(9): 78-84.
Gogoi A, Islam AKS, Panyang R, Dowerah P, Ramasamy S, Boruah M. A prospective hospital-based study on the clinico-etiological profile of first episode seizures in children. Int J Med Res Prof 2016; 2(3): 108-14. https://doi.org/10.21276/ijmrp.2016.2.3.025
Ciccone O, Mathews M, Birbeck GL. Management of acute seizures in children: A review with special consideration of care in resource-limited settings. African Journal of Emergency Medicine 2017; 7: S3-S9. https://doi.org/10.1016/j.afjem.2017.09.003
Mwipopo EE, Akhatar S, Fan P, Zhao D. Profile and clinical characterization of seizures in hospitalized children. The Pan African Medical Journal 2016; 24: 313. https://doi.org/10.11604/pamj.2016.24.313.9275
Alsharif MM, El-Fetoh N, Ali GY, Alanazi KF, Alanazi AN, Falah Alanazi O, et al. Epilepsy as a health problem among school children in Turaif, Northern Saudi Arabia, 2017. Electronic Physician 2017; 9(8): 50365042. https://doi.org/10.19082/5036
Sastry CPVR, Reddy RM. Study of prevalence and clinical spectrum of seizures in children in a teaching hospital in rural Telangana, India. International Journal of Contemporary Pediatrics [S.l.] 2018; 5(3): 862-866. https://doi.org/10.18203/2349-3291.ijcp20181503
Idro R, Gwer S, Kahindi M, Gatakaa H, Kazungu T, Ndiritu M, et al. The incidence, aetiology, and outcome of acute seizures in children admitted to a rural Kenyan district hospital. BMC Pediatrics 2008; 8(1): 5. https://doi.org/10.1186/1471-2431-8-5
Canpolat M, Kumandas S, Poyrazoglu HG, Gumus H, Elmali F, Per H. Prevalence and risk factors of epilepsy among school children in Kayseri City Center, an urban area in Central Anatolia, Turkey. Seizure 2014; 23(9): 708-16. https://doi.org/10.1016/j.seizure.2014.05.012
Sadeq H, Karim J, Marwan Y, AlSaleem T. Neuroimaging Evaluation for First Attack of Unprovoked Nonfebrile Seizure in Pediatrics: When to Order? Medical Principles and Practice 2016; 25(1): 56-60. https://doi.org/10.1159/000441847
Onyearugha CN, et al. “Febrile Seizures at a Tertiary Paediatric Heath Facility in South-East Nigeria. Acta Scientific Paediatrics
Published
How to Cite
Issue
Section
License
Policy for Journals/Articles with Open Access
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are permitted and encouraged to post links to their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work
Policy for Journals / Manuscript with Paid Access
Authors who publish with this journal agree to the following terms:
- Publisher retain copyright .
- Authors are permitted and encouraged to post links to their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work .
