학술논문

Epidemiology and outcome of status epilepticus in children: a Scottish population cohort study.
Document Type
Article
Source
Developmental Medicine & Child Neurology. Sep2021, Vol. 63 Issue 9, p1075-1084. 10p.
Subject
*EPILEPSY
*SCOTS
*STATUS epilepticus
Language
ISSN
0012-1622
Abstract
(b) Thirty-seven per cent had one episode of status epilepticus, 26% had two to four, and 37% children had at least five. gl Seizure characteristics and immediate outcomes Median seizure duration was 10 minutes and 69.2% of seizures lasted between 5 and 29 minutes; 41.2% of children had febrile seizures, 55.5% epilepsy-related seizures, and 2.1% acute symptomatic seizures. Febrile seizures are more common in younger children and made up most (95%) symptomatic seizures.26 Therefore, a first CSE in older children should lower the threshold for suspecting an underlying abnormality and initiating intervention.11 The North London Convulsive Status Epilepticus in Childhood Surveillance Study found that neurological sequelae were more common in those with unprovoked seizures and that absence of fever during CSE was predictive of subsequent epilepsy. Abbreviations CSE Convulsive status epilepticus ILAE International League Against Epilepsy Convulsive status epilepticus (CSE) is known to be the most common and serious neurological emergency in children, associated with increased emergency service use, hospital admission, intensive care, and mortality. For example, CSE is known to be more common in people of non-white ethnicity.10,18,19 In the literature, seizure recurrence is quoted as 13.3% to 18.5%.5 In this cohort, seizure recurrence was 34.1%, with 5.6% of children having five or more seizures. [Extracted from the article]