Document Detail


Yield of Diagnostic Studies in Children Presenting With Complex Febrile Seizures.
MedLine Citation:
PMID:  22858753     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: The objective of this study was to determine the yield of diagnostic workup in children presenting with complex febrile seizures. METHODS: We performed a retrospective review of charts of patients who presented to our pediatric emergency department with complex febrile seizures (focal, prolonged, or recurrent). Patients with known seizure disorder, congenital central nervous system malformations, or hydrocephalus were excluded. The charts were reviewed for diagnostic workup. RESULTS: There were 71 eligible encounters (mean age, 1.5 years); 59.2% were males. None of the 71 patients had positive blood or urine cultures; none had abnormal blood count or serum chemistries. Only 1 patient who had a very abnormal presentation in febrile status epilepticus had positive cerebrospinal fluid culture and abnormal brain computed tomography scan and magnetic resonance imaging. CONCLUSIONS: Most patients with complex febrile seizures do not require extensive diagnostic workup.
Authors:
Madhu Dunichand Hardasmalani; Mai Saber
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-8-1
Journal Detail:
Title:  Pediatric emergency care     Volume:  -     ISSN:  1535-1815     ISO Abbreviation:  Pediatr Emerg Care     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-8-3     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8507560     Medline TA:  Pediatr Emerg Care     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
From the *Keck School of Medicine, Los Angeles County-University of Southern California, Los Angeles, CA; and †University of Medicine and Dentistry of New Jersey-New Jersey Medical School, Newark, NJ.
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