is lumbar puncture justifiable in the first febrile seizure?
نویسندگان
چکیده
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 findings were given due consideration.
منابع مشابه
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...
متن کاملYield of lumbar puncture among children who present with their first complex febrile seizure.
OBJECTIVE To assess the rate of acute bacterial meningitis (ABM) among children who present with their first complex febrile seizure (CFS). DESIGN AND METHODS This study was a retrospective, cohort review of patients aged 6 to 60 months who were evaluated in a pediatric emergency department (ED) between 1995 and 2008 for their first CFS. Cases were identified by using a computerized text sear...
متن کاملLumbar 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...
متن کاملBulging 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 ...
متن کاملLumbar Puncture Findings in İnfants under 12 Months of Age with Simple Febrile Seizure
Aim: The aim of the study was to asses the necessity of lumbar puncture in infants under 12 months of age with simple febrile seizure. Material and Methods: The study group covered 33 infants less 12 months of age and diagnosed as simple febrile seizure. Lumbar puncture was performed for all the patients. The age, vaccination status, physical examination, laboratory results of patients are eval...
متن کاملLumbar puncture in children from an area of malaria endemicity who present with a febrile seizure.
BACKGROUND Although routine lumbar puncture (LP) is often recommended as part of the assessment of fever-associated seizures in children, accumulating evidence questions its value and reveals a decrease in its frequency. Our primary hypothesis was that children who present with a single seizure but with no clinical signs of meningism or coma do not require LP as part of initial diagnostic asses...
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عنوان ژورنال:
medical journal of islamic republic of iranجلد ۱، شماره ۱، صفحات ۵۵-۵۸
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