Journal of the Korean Pediatric Society 1984;27(7):718-724.
Published online July 31, 1984.
Role of Lumbar Puncture in Children with First Febrile Convulsion.
Kyu Chul Choi, Byoung Soo Cho, Sa Jun Chung, Yong Mook Choi, Chang Il Ahn
Department of Pediatrics, College of Medicine, Kyung Hee University, Seoul, Korea
열성 경련환아에서 요추천자의 유용성에 관한 고찰
최규철, 조병수, 정사준, 최용묵, 안창일
경희대학교 의과대학 소아과학교실
Abstract
To assess the role of lumbar puncture in the children with their first febrile convulsion, the results of lumbar puncture in 154 children for a 3-year period were reviewed. In the frequency of the causes of febrile convulsion, meningitis and encephalitis were the most common (34.4%) and upper respiratory tract infection was the next(26.0%). The comparison and observations between the risk factors in febrile convulsion and the findings of lumbar puncture were done. The positive lumbar puncture was more probable in the cases which were having complex febrile convulsion occurred 24 hours after the onset of fever with abnormal EEG finding(p<0.005). Two children less than 15 months old had simple febrile convulsion on admission but were confirmed to have tuberculous meningitis and aseptic meningitis, respectively. We suggest that lumbar puncture should be performed in those children presenting with their first febrile convulsion under the age of 15 months.
Key Words: Febrile convulsion, Lumbar puncture




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