Bergamo Silvia, Parata Francesca, Nosadini Margherita, Boniver Clementina, Toldo Irene, Suppiej Agnese, Vecchi Marilena, Amigoni Angela, Da Dalt Liviana, Zanconato Stefania, Perilongo Giorgio, Sartori Stefano
Pediatric Neurology Unit, Department of Women's and Children's Health, University of Padua, Italy.
Pediatric Emergency Department, Department of Women's and Children's Health, University of Padua, Italy.
J Child Neurol. 2015 Mar;30(3):289-95. doi: 10.1177/0883073814538670. Epub 2014 Jul 9.
Convulsive epileptic seizures in children represent a common cause of admission to pediatric emergency department. Data about incidence, etiology, and outcome are still lacking in literature. We retrospectively reviewed medical records of children presenting to our pediatric emergency department with convulsive seizures during a 12-month period and collected their diagnoses over the following year. In all, 182 children met the inclusion criteria, for a total of 214 visits (1.2% of all attendances, n = 24 864). Seizures lasted less than 5 minutes in 76%, 5 to 30 minutes in 20%, 30 to 60 minutes in 2%, and over 60 minutes in 2% visits ("early," "established," "refractory," convulsive status epilepticus, respectively). Incidence of "early" (seizure lasting 5-30 minutes) and "established" (seizure lasting 30-60 minutes) status epilepticus was 52/100 000/year and 7/100 000/year respectively. Most common causes were febrile seizures (56%) and remote symptomatic seizures (19%). Knowing the epidemiology of convulsive seizures in children is important to guide appropriate management and individualized follow-up.
小儿惊厥性癫痫发作是儿科急诊科常见的入院原因。关于发病率、病因和预后的数据在文献中仍然缺乏。我们回顾性地审查了在12个月期间到我们儿科急诊科就诊的惊厥性癫痫发作患儿的病历，并收集了他们在接下来一年中的诊断结果。共有182名儿童符合纳入标准，总共就诊214次（占所有就诊人数的1.2%，n = 24864）。76%的发作持续时间少于5分钟，20%的发作持续5至30分钟，2%的发作持续30至60分钟，2%的就诊发作持续超过60分钟（分别为“早期”、“确立期”、“难治性”惊厥性癫痫持续状态）。“早期”（发作持续5 - 30分钟）和“确立期”（发作持续30 - 60分钟）癫痫持续状态的发病率分别为每年52/100000和每年7/100000。最常见的病因是热性惊厥（56%）和远隔症状性发作（19%）。了解小儿惊厥性癫痫发作的流行病学对于指导适当的管理和个体化随访很重要。
