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Research ArticleORIGINAL ARTICLES
Open Access

Clinical profile of admitted children with febrile seizures

Norah A. Al-Khathlan and Mohammed M. Jan
Neurosciences Journal January 2005, 10 (1) 30-33;
Norah A. Al-Khathlan
Department of Pediatrics, King Abdul-Aziz University Hospital, Jeddah, Kingdom of Saudi Arabia.
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Mohammed M. Jan
Associate Professor of Pediatric Neurology, Department of Pediatrics (Neurology), King Abdul-Aziz University Hospital, PO Box 80215, Jeddah 21589, Kingdom of Saudi Arabia. Tel. +966 (2) 6401000 Ext. 20208. Fax. +966 (2) 6403975. E-mail: [email protected]
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Abstract

OBJECTIVE: The objectives of this study were to evaluate the clinical profile, investigations, treatments and outcome of hospitalized children with febrile seizures.

METHODS: A series of 69 consecutive children with febrile seizures was identified by chart review from 1st January 1997 to 1st January 2002 at King Abdul-Aziz University Hospital in Jeddah, Kingdom of Saudi Arabia. Clinical, laboratory, EEG, and neuroimaging data were evaluated by one investigator using a structured data collection form.

RESULTS: The children’s ages ranged between 7-70 months (mean 20, SD 14), and 59.5% were males. The source of the febrile illness was evident in 65%, however, most admitted children (60 out of 69) had atypical seizures (55%), were ill looking (24.5%), had febrile status (17.5%), or positive meningeal irritation signs (4%). Electrolyte abnormalities were uncommon (10%), however, complete blood count was abnormal in 45%, which increased the likelihood of receiving intravenous antibiotics (p=0.01). Lumbar puncture was performed on 75%, particularly those with a first seizure (odds ratio [OR] 3.8, 95% confidence interval [CI] 0.9-15) or younger than 2 years of age (OR 3.4, 95% CI 0.7-17). Brain CT was performed in 13% and EEG in 33%. Obtaining an EEG was less likely if the seizures were typical (13% versus 50% in atypical, p=0.002). Duration of hospitalization ranged between 1-14 days (mean 4.7, SD 3.2), and only one child had meningitis, which was predicted clinically.

CONCLUSION: Pediatricians are selective in admitting and investigating children with febrile seizures. The children frequently had atypical seizures, status epilepticus, or were ill looking. The yield of investigations remains low and does not justify extensive work-up or prolonged hospitalization.

  • Copyright: © Neurosciences

Neurosciences is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work.

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Neurosciences Journal: 10 (1)
Neurosciences Journal
Vol. 10, Issue 1
1 Jan 2005
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Clinical profile of admitted children with febrile seizures
Norah A. Al-Khathlan, Mohammed M. Jan
Neurosciences Journal Jan 2005, 10 (1) 30-33;

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Clinical profile of admitted children with febrile seizures
Norah A. Al-Khathlan, Mohammed M. Jan
Neurosciences Journal Jan 2005, 10 (1) 30-33;
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© 2025 Neurosciences Journal Neurosciences is copyright under the Berne Convention and the International Copyright Convention. All rights reserved. Neurosciences is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3183. Print ISSN 1319-6138.

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