Lumbar puncture following febrile convulsion

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Lumbar puncture following febrile convulsion.

uch of the medicine we practice is enshrined in dogma. The management of children following febrile seizures is no exception. Every 5–10 years, the value and need for various investigations or treatment has been revisited in the medical press. However , despite the commonness of this clinical problem, consensus over management remains elusive. In particular, the need for lumbar puncture followi...

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IS LUMBAR PUNCTURE JUSTIFIABLE IN THE FIRST FEBRILE SEIZURE?

To ascertain whether LP was justifiable in cases of first simple febrile seizure, the records of128 such patients were critically reviewed in this study. It was evident that in 90% of those who received cerebrospinal fluid examination as a routine work up, lumbar puncture could have been avoided if the definition of simple febrile seizure was adhered to and the history and clinical finding...

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is lumbar puncture always necessary in the febrile child with convulsion?

objective febrile convulsion is the most common benign convulsive disorder in children. meningitis is one of the most important causes of fever and convulsions, diagnosed by lumbar puncture (lp), a painful and invasive procedure much debated  regarding its necessity. this study evaluates the frequency of abnormal lp findings in a group of patients, to determine whether or not unnecessary lp can...

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Bulging fontanelle in febrile infants: lumbar puncture is mandatory.

We read with interest the study by Shacham et al.1 Out of 153 children with fever and bulging fontanelle, only one child had bacterial meningitis. However, we disagree with their suggestion of withholding lumbar puncture in this group of children. In their cohort, 41 out of 153 children had aseptic meningitis; however, cerebrospinal fl uid (CSF) viral cultures and PCR studies were only done in ...

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تشنج تب خیز “Febrile convulsion”

تشنج تب خیر شایع ترین نوع تشنج در دوران کودکی است. این بیماری خوش خیم، معمولا باعث عوارض ناخوشایند ذهنی و عصبی در کودک نمی گردد، ولی در یک سوم از موارد آن، احتمال عود تشنج وجود دارد. البته سابقه مثبت فامیلی در 25 تا 40% کودکان با تشنج تب خیز موجود می باشد. با اینحال احتمال تبدیل شدن به صرع در آینده بسیار اندک است.ارزیابی اولیه کودک می بایستی پس از قطع تشنج، عمدتا بررسی جهت علت تب در کودک انجام ...

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ژورنال

عنوان ژورنال: Archives of Disease in Childhood

سال: 2002

ISSN: 0003-9888,1468-2044

DOI: 10.1136/adc.87.3.238