Author/Authors :
Saz, U Ege university - Tıp Fakültesi - Çocuk Sağlığı ve Hastalıkları, Turkey , Cağlayan, E Ege University - Tıp Fakültesi - Çocuk Sağlığı ve Hastalıkları, Turkey , Serdaroglu, G Ege University - Tıp Fakültesi - Çocuk Sağlığı ve Hastalıkları, Turkey , Aydogdu, S Ege University - Tıp Fakültesi - Çocuk Sağlığı ve Hastalıkları, Turkey , Mir, S Ege University - Tıp Fakültesi - Çocuk Sağlığı ve Hastalıkları, Turkey , Tekgul, H Ege University - Tıp Fakültesi - Çocuk Sağlığı ve Hastalıkları, Turkey
Abstract :
Aim: We studied the etiological spectrum of children with acute first seizures and seizure-like events in the pediatric emergency unit of a tertiary care hospital.Material and Methods: Seventy-five children were related to acute first seizures and 32 children were to seizure-like events. Results: Syncope (17%) was the most common cause of seizure-like events. Epilepsy was identified for 28 (37%) children with acute first seizure. Nine children (12%) were considered as first unprovoked afebrile seizure. The remaining seven children with acute first seizure (9.3%) had acute symptomatic seizures based on the extensive metabolic screening and MRG studies. Fifteen children (20%) had seizure reoccurrence in the emergency unit.Conclusion: Status epilepticus occured in 4 patients (5.3%) and those were admitted into the intensive care unit.