Abstract
Objective: To study the clinico-radiological profile of children presenting with seizure in a tertiary care hospital in Nepal.
Methods: This was a prospective cross-sectional study. Children presenting with seizures were included in the study. The children of either sex and aged 0-16 years were included in the study. Neuroimaging of all the children was done by computed tomography (CT) of head. Number of lesions were counted in CT scan of head and labeled as single or multiple. The findings were reported in the form GTCS, partial seizure and others.
Results: Out of the total 168 children with seizures, 138 (82.1%) had GTCS and 30 (17.3%) had partial seizures. GTCS was slightly higher among male children (82.7%) compared to females (81.2%). However, partial seizure was slightly lower among male children (17.3%) compared to females (18.8%). The percentage of GTCS and partial seizures was 80% and 20% in vesicular stage respectively. The percentage of GTCS and partial seizures was 89.5% and 10.5% in who fever was present. On CT scan, the percentage of GTCS and partial seizure was 86.3% and 13.7% respectively in whom NCC was found.
Conclusion: The study showed that seizure is one of the major causes of hospital admissions in children, particularly in the children. Febrile seizure is the most common cause of seizure in children and majority of them have generalized form of seizure. Seizure control with single drug, seizure without recurrence and idiopathic seizure are favorable prognostic factors.
Keywords: Seizure, Clinical, Generalized tonic-clonic seizure, Partial seizure.
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Corresponding Author
Dr Sadhan Mukhi
Professor & Head, Department of Radiodiagnosis, Universal College of Medical Sciences and TH,
Bhairahawa, Nepal
Email: sadhanmukhi@gmail.com
DOI: https://dx.doi.org/10.18535/jmscr/v5i7.229
