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Scholars Journal of Applied Medical Sciences | Volume-8 | Issue-11
Clinical Profile of Febrile Seizure in Children: A Study in a Tertiary Care Hospital, Dhaka, Bangladesh
Md. Nurul Absar, Sahedul Islam Bhuiyan, Farhana Akhter Faruque, Md. Abu Talha
Published: Nov. 30, 2020 | 227 266
DOI: 10.36347/sjams.2020.v08i11.048
Pages: 2672-2676
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Abstract
Introduction: Febrile seizures are one of the common neurological problems encountered in pediatric practice and common cause of convulsions in young infants. Seizure was diagnosed by sudden alteration of behavior with abnormal movement of limbs, trunk, and face that might be associated with abnormal or fixed eye gaze with or without incontinence of urine or stool. In USA, South America and Western Europe between 2% and 5% of all children experience febrile seizure before 5 years. Aim of the study: To evaluate the clinical profile and investigations of febrile seizure in children. Material & Methods: This cross sectional study was conducted in Uttara Adhunic medical college hospital, Uttara, Dhaka, Bangladesh. The study was done in 6 months’ duration (1st November 2010 to 3oth April 2011), on the children of febrile seizure. Hundred (100) patients fulfilling inclusion and exclusion criteria were selected for this study. Data recorded in questionnaires forms into computer and analyzed by using SPSS-15.0 statistical software employing appropriate statistical test and determination of p value. This study was approved by Ethical Committee of the BCPS. Moreover, this study was done following the guideline of BMRC (Bangladesh Medical Research Council). Results: In this study, age distribution of the patients (n=100) were divided into three age groups. Incidence was most common in 1-2 years’ age group (43%), slightly lower in 5 months –1-year group (39%) and incidence declined sharply in 2-6 years’ age group which was 18%. Male to female ratio was 1.27:1. Ninety-two (92%) febrile seizures were of less than 15 minutes’ duration, 95% generalized, and single attack of seizure in 89% cases, incidence of 2 attack in 7% and more than 2 in 4% cases. Conclusion: Family history was positives in significant number of cases. No significant association found between this disease and any antenatal, natal, post-natal or childhood adverse events.