ارتباط یافته های پاراکلینیکی اولین تشنج با میزان عود تشنج در طی یکسال در کودکان بستری شده در بیمارستان شهید صدوقی یزد
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چکیده مقاله:
Introduction: Seizure is the most common pediatric neurology problem that occurs in 10% of children. The purpose of this study was to determine the recurrence rate of seizures after one year and its relationship with paraclinical findings of the first attack. Methods : In a historical cohort analytic study , 131 children with first seizure admitted to Shaheed Sadoughi Hospital between March 2004 to August 2005 were evaluated for recurrence rate during one year and its relationship with serum levels of sodium, potassium , glucose, calcium , Hb , MCV and PMN during the first attack. Results: 79.4% of cases were in febrile seizure group and 20.6% in first unprovoked seizure group (FUS).Of the total, 27.84 % of patients had seizure recurrence ( 27.9% in febrile and 25.9% in afebrile group). Mean survival recurrence rate was 10.11±0.32 SD months (10.25±0.33 SD months in febrile group and 9.57±0.83 SD months in FUS). Survival analysis showed that seizures recurred later in older patients. Younger age and lower Hb levels in the febrile seizure group and lower MCV in the FUS group were associated with an increased risk of recurrence. Conclusion: In this study, anemia and microcytic RBC were risk factors for seizure recurrence. Therefore, more studies should be done so as to decrease seizure recurrence by treating and preventing anemia.
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متن کاملبررسی یافته های سی تی اسکن مغز نوزادان با تشنج کلینکی بستری شده در بیمارستان شهید صدوقی یزد و ارتباط آن با یافته های کلینیکی
Introdution: Seizure is the most common neurologic symptom of neonatal period and brain CT scan can be helpful in finding of its etiology. The purpose of present study was to evaluate brain CT scan findings of admitted neonates with clinical seizure and its correlation with clinical findings. Methods: In a retrospective descriptive study, medical records and brain CT scan findings of neonates ...
متن کاملمیزان عود تشنج به دنبال اولین تشنج بدون عامل مستعد کننده حاد در کودکان
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Background and Aim: Convulsion in infants with the prevalence of 4 to 6 cases in 1000 is the most common neurological disorder in pediatrics. The reason for this study was the rather high prevalence of convulsion, its psychosocial and cognitive importance, and determining the underlying factors of the disorder in infants. Materials and Methods: In this descriptive- analytical study, 178 ...
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عنوان ژورنال
دوره 15 شماره 3
صفحات 26- 32
تاریخ انتشار 2007-12
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