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Clinical Studies on Febrile Convulsion in Children.

Journal of the Korean Pediatric Society 1987;30(3):297-304.
Published online March 31, 1987.
Clinical Studies on Febrile Convulsion in Children.
Kang Ho Kim, In Kwyu Park, Young Bong Park, Jin Heon Kim, Chang Soo Ra
Department of Pediatrics, College of Medicine, Chosun University, Kwangju, Korea
열성경련 환아의 임상적 고찰
김강호, 박인규, 박영봉, 김진헌, 나창수
조선대학교 의과대학 소아과학교실
Abstract
We have analyzed the clinical and laboratory findings of 204 patients with febrile convulsion, who were admitted to the Department of Pediatrics, Chosun University Hospital from Jan. 1976 to Dec. 1985. The results obtained were as follows: 1) In sex distribution, the boys(65.6%) outnumbered the girls(34.4%) and the ratio was 1.9:1. 2) 78.9% of the patients with febrile convulsion were from 6 months to under 4 years of age at the first episode of the febrile convulsion. 3) The incidence of a family history of convulsion was 3.4%: febrile convulsion in 2.4%, afebrile convulsion in 1.0%. 4) The types of convulsion were tonic in 51.4%, tonic and clonic in 35.3% and clonic in 11.8%. 5) The most common cause of febrile convulsion was pharyngotonsillitis(41.6%) and the next was acute gastroenteritis(27.5%) and pneumonia(15.2%) in order of frequency. 6) The monthly occurrence rate of the patients with febrile convulsion was higher in April, May, June and September than in other months. 7) The EEG findings were normal in 73.2% and abnormal in 26.8% of total cases. The most commo abnormal EEG finding in febrile convulsion was slow wave(36.3%) and the least was spike and complex(9.1 %) or paroxysmal rhythmic wave(9.1%). 8) During the follow up at O.P.D., 22 children of 43 patients were treated with prophylactic anticonvulsant medicine.
Key Words: Febrile convulsion, EEG findings.


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