Initial approach to first-time seizures in pediatrics

Autores: Infante Cantú José Antonio, Meza Resendíz Mayela Alejandra, Chávez Rede Martha Elena

Resumen

Objective: Prove that conducting complementary studies at laboratories and imaging studies are unnecessary in first-time unprovoked seizures, since there is no change in the evolution and prognosis of the disease, as well as the study of our population, the incidence rate and the proportion of our patients that have been studied and given maintenance treatment, so it can be determined whether or not our population should follow the suggestions of the American Academy of Pediatrics and the Spanish Pediatric Association. Methods: An observational study, including patients diagnosed with first-time unprovoked seizures. They were followed up on by the emergency department and information was collected from their clinical history and compared with the results of the different studies between patients that suffered just one seizure and the ones that had recurrent seizures. Results: Thirty one patients were included, 14 males and 17 females. The average age was 5.5 years old. The 100% of patients were studied, and the groups were compared. The significant study was the electroencephalogram (EEG) with a p=0.02 (significance p<0.05), incidence of 41%. Conclusions: The study and diagnosis of first-time unprovoked seizures is based on clinical manifestations. The EEG is important in the study and classification of unprovoked seizures. Our population has an incidence and recurrence rate similar to that in the bibliography, and for that reason, this study suggests that the diagnostic and therapeutic guidelines of the American Academy of Pediatrics and the Spanish Pediatric Association should be followed.

Palabras clave: Unprovoked seizures; electroencephalography; Mexico.

2015-01-28   |   325 visitas   |   1 valoraciones

Vol. 16 Núm.64. Julio-Septiembre 2014 Pags. 121-124 Med Univer 2014; 16(64)