DOI: 10.36347/sjams.2020.v08i08.005

Pages: 1823-1827

Objective: Aim was to find out the prevalence of provoked seizures, etiology, types of seizure and the immediate outcome in children 2 months to 18 years presenting with first episode of seizure. Methods: This was a Prospective Cross Sectional Observational hospital based study carried out in Nazareth Hospital, Shillong. All children 2 months up to 18 years of age admitted in the Department of Pediatrics, Nazareth Hospital, Shillong, Meghalaya, India presenting with first episode of seizure were included in the study. Results: A total of 80 patients were included in the study, 57% were male and 43% were female. Most of the cases, (72.5%) belonged to the age group 2 months to < 5 years of age and were from rural area (60%). Fever was present in 78.7% of the patients. GTCS (87%) was the most common clinical type of seizure followed by focal seizures which was 13% (p < 0.001). 77% of the seizures in the enrolled patients were provoked seizures and febrile convulsion (49%) was the commonest etiology of provoked seizure, followed by acute infarct, neurocysticercosis and 21% patients had seizure disorder. In 84% of the provoked seizures, fever was the provoking factor (p < 0.03). Of the total 1495 admission during the study period of one year (1st January to 31st December 2017), 110 children presented with the first episode of seizure. Thus prevalence in our study was 7.35. Conclusions: In our study, of the 80 enrolled children with first episode of seizures, majority of the seizures were provoked seizures, GTCS type, children belonging to 2 months to 5 years age group were mainly affected, with male predominance and fever was found to be the most common provoking factor for seizure.