Predictors of clinically urgent intracranial pathology at neuroimaging in children with complex febrile seizures: a retrospective cross-sectional study.
Acta Paediatr
; 109(2): 349-360, 2020 02.
Article
em En
| MEDLINE
| ID: mdl-31310688
ABSTRACT
AIM:
To assess the prevalence of clinically urgent intracranial pathology (CUIP) in children visiting the emergency department with a complex febrile seizure (CFS).METHODS:
Retrospective cohort review. We analysed the visits of patients for a CFS from January 2007 to December 2011 in seven paediatric emergency departments. Our main outcomes were the proportions of CUIP diagnosed between day 0 and 1 and within 30 days after the index visit.RESULTS:
From 1 183 487 visits, 839 were for a CFS and 130 (15.5%) of these had a neuroimaging performed within 30 days (CT scan for 75 visits [8.9%], MRI for 30 visits [3.6%] and both for 25 visits [3.0%]). Three CUIP were diagnosed between day 0 and 1 (0.4% [CI-95% 0.1-1.3]), 5 within 30 days after the index visit (0.7% [CI-95% 0.2-1.7]) but none among the 630 visits of children presenting with a normal neurological clinical examination (0% [95% CI 0.0-0.7]), nor among the 468 presenting only with multiple seizure (0% [95% CI 0.0-1.0]).CONCLUSION:
In children with a CFS, CUIP is rare event in the subgroup of children with a normal neurological clinical examination and in those with brief generalised multiple seizures.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Convulsões Febris
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article