Study of clinical profile of children admitted with new onset seizures in a tertiary care urban hospital in South Bangalore

Abstract

Background: Seizure is one of the common causes of childhood hospitalization with significant mortality and morbidity. There is limited data regarding acute seizures episodes form the developing countries. Method and Aim: This was a hospital based prospective study carried out children admitted in Paediatric intensive care unit of Bangalore Baptist Hospital a tertiary care centre, Bangalore, from 1month to 15 years of age during the period between September 2018 to January 2020.Current study aims to find the common aetiology of seizure and classify seizure types in various age groups. Variables collected were demographics, clinical presentations, laboratory tests, brain imaging studies, ABR, electroencephalography, diagnosis and hospital course. Results: A total of 200 patients were admitted for seizures with 120 (60%) males and 80 (40%) females. Among these patients, 148 (74%) presented with fever and 148 (74%) of children were less than 5 years of age. Generalized tonic-clonic seizures were the most common seizure type 140 (70%). Seizure disorder (21%), febrile seizures (55%), CNS infections and neurocysticercosis were common etiologies. Conclusion: Convulsion is an important symptom in children admitted with PICU. Seizure occurs in peak frequency in age group of 1yr to 5 years. Febrile seizures was the common causes of seizures in febrile children. Children diagnosed as seizure disorder require long term follow up studies including neurophysiologic studies. © This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.