Identification of Clinical Features and Prognosis of Children Hospitalized with First Afebrile Seizure: A Single-Center Study

İlk Afebril Konvülziyon Geçiren Çocukların İzlemi

Abstract

Background:

It is aimed to evaluate the risk of recurrence of the first afebrile seizure according to the use of antiepileptics.

Materials and Methods:

One year follow up of children with first afebrile convulsion were investigated retrospectively. Age, gender, history, neurological findings, electroencephalogram, neuroradiological imaging were evaluated for seizure recurrence considering antiepileptic treatment use.

Results:

Antiepileptic was started in 45.2% (33 out of 73) of patients. Seizure recurrence was 39.4% (13 out of 33) under treatment. No recurrence was observed in 92.5% (37 out of 40) of untreated patients (p=0.001).

Conclusion:

After the first afebrile seizure, antiepileptic treatment could lower but could not remove recurrence risk totally. Seizure did not recur in most of children followed-up without treatment, therefore decision to start antiepileptic after the first unprovoked seizure should be carefully evaluated.