Incidence and risk factors of acute encephalopathy with biphasic seizures in febrile status epilepticus

2021 ◽  
Author(s):  
Fumio Ichinose ◽  
Takuji Nakamura ◽  
Ryutaro Kira ◽  
Kenji Furuno ◽  
Shigeki Ishii ◽  
...  
Keyword(s):  
Risk Factors ◽  
Status Epilepticus ◽  
Acute Encephalopathy ◽  
Febrile Status Epilepticus

scholarly journals Etiology, Risk Factors, Mortality and Morbidity of Status Epilepticus in Children: A Retrospective Cross-Sectional Study in Tehran, Iran

2020 ◽  
Vol 14 (1) ◽  
pp. 95-102
Author(s):  
Mohammad Vafaee-Shahi ◽  
Elaheh Soltanieh ◽  
Hossein Saidi ◽  
Aina Riahi
Keyword(s):  
Risk Factors ◽  
Status Epilepticus ◽  
Brain Imaging ◽  
Morbidity And Mortality ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Imaging Results ◽  
History Of ◽  
Abnormal Brain ◽  
Febrile Status Epilepticus

Background: Risk factors identification associated with status epilepticus is valuable in order to prevent morbidity and mortality in children. This study aimed to consider the etiology, risk factors, morbidity and mortality in children with status epilepticus. Methods: This retrospective cross-sectional study was performed on 119 patients aged from one month old to 15 years old. Patients’ data were recorded, including basic demographic, etiology and clinical information. The different risk factors correlated to morbidity and mortality were evaluated in this study. Results: The most common etiologies were acute symptomatic and febrile status epilepticus by 32.8% and 22.7%, respectively. Abnormal brain imaging results were reported far more frequently in patients with a history of neurodevelopmental delay and previous status epilepticus (p<0.001). The overall morbidity and mortality rates were 18.9% and 10.9%, respectively; while these rates in patients with delayed development (45.16% and 18.42%, respectively) were significantly higher than patients with normal development (8% and 7.4%, respectively). The morbidity rates in patients with previous seizures and previous status epilepticus were remarkably higher than those without previous history of seizure (26.41% vs 11.32%; p=0.047) and without previous status epilepticus (36.36% versus 14.28%; p=0.018). The length of hospital stay in patients with mortality was considerably longer than patients without mortality (12.30 ± 16.1 days vs 7.29 ± 6.24 days; p=0.033). The mortality rate in patients with normal Lumbar Puncture result was notably lower than those with abnormal LP result (2.9% vs 50%). The morbidity rate in patients with abnormal brain imaging results (p<0.001) was significantly greater than those in patients with normal results. The mortality rate was relatively higher in patients with abnormal imaging results compared to those normal results. Etiology was an important predictor of mortality and morbidity rates; acute symptomatic (32.8%), febrile status epilepticus (22.7%) and remote symptomatic (16.8%) etiologies were the most common underlying causes of S.E. While in children less than 3 years old, the acute symptomatic etiology and febrile status epilepticus etiologies were estimated as the most common, in most patients older than 3 years old the most common etiology of status epilepticus was unknown. Congenital brain defects etiology had the highest mortality (36.36%) and morbidity (42.85%) rate. The lowest morbidity (3.84%) and mortality (0%) rates were for patients with febrile status epilepticus etiology. Conclusion: Age, developmental delay, history of previous status epilepticus, the length of hospital stay, abnormal brain imaging results and the underlying etiology of status epilepticus were associated with increased morbidity and mortality among children with status epilepticus.

Febrile Status Epilepticus

2019 ◽  
Vol 08 (03) ◽  
pp. 079-082
Author(s):  
Isaac Molinero ◽  
Shlomo Shinnar
Keyword(s):  
Risk Factors ◽  
Status Epilepticus ◽  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Early Treatment ◽  
Febrile Seizure ◽  
Hippocampal Sclerosis ◽  
Febrile Seizures ◽  
Medical Emergency ◽  
Febrile Status Epilepticus

AbstractFebrile status epilepticus (FSE) is defined as a febrile seizure lasting 30 minutes or more and is considered the extreme end of the complex febrile seizure spectrum. It remains unclear why some children are predisposed to the development of FSE compared with others. FSE is considered as medical emergency and as such, early treatment is crucial. The consequences of FSE have been a topic of interest for many years, specially its association with temporal lobe epilepsy and hippocampal sclerosis. In this article, we review the epidemiology, risk factors, pathophysiology, treatment, and prognosis including findings from the “Consequences of Prolonged Febrile Seizures in Childhood” (FEBSTAT) study.

Prediction of acute encephalopathy with biphasic seizures and late reduced diffusion in patients with febrile status epilepticus

2016 ◽  
Vol 38 (2) ◽  
pp. 217-224 ◽  
Author(s):  
Takaoki Yokochi ◽  
Takahito Takeuchi ◽  
Jumpei Mukai ◽  
Yukihiro Akita ◽  
Kojiro Nagai ◽  
...  
Keyword(s):  
Status Epilepticus ◽  
Acute Encephalopathy ◽  
Febrile Status Epilepticus

INFANTILE FEBRILE STATUS EPILEPTICUS: RISK FACTORS AND OUTCOME

2008 ◽  
Vol 29 (4) ◽  
pp. 495-501 ◽  
Author(s):  
F. Viani ◽  
E. Beghi ◽  
A. Romeo ◽  
A. Lierde
Keyword(s):  
Risk Factors ◽  
Status Epilepticus ◽  
Febrile Status Epilepticus

scholarly journals Risk Factors for Febrile Status Epilepticus: A Case-Control Study

2013 ◽  
Vol 163 (4) ◽  
pp. 1147-1151.e1 ◽  
Author(s):  
Dale C. Hesdorffer ◽  
Shlomo Shinnar ◽  
Darrell V. Lewis ◽  
Douglas R. Nordli ◽  
John M. Pellock ◽  
...  
Keyword(s):  
Risk Factors ◽  
Status Epilepticus ◽  
Case Control Study ◽  
Case Control ◽  
Control Study ◽  
Febrile Status Epilepticus

scholarly journals Reply to Dravet, C. Different Outcomes of Acute Encephalopathy after Status Epilepticus in Patients with Dravet Syndrome. How to Avoid Them? Comment on “De Liso et al. Fatal Status Epilepticus in Dravet Syndrome. Brain Sci. 2020, 10, 889”

2021 ◽  
Vol 11 (6) ◽  
pp. 811
Author(s):  
Paola De Liso ◽  
Virginia Pironi ◽  
Massimo Mastrangelo ◽  
Domenica Battaglia ◽  
Dana Craiu ◽  
...  
Keyword(s):  
Status Epilepticus ◽  
Dravet Syndrome ◽  
Acute Encephalopathy ◽  
To Receive

It has been an honor for us to receive a comment on our article “Fatal Status Epilepticus in Dravet Syndrome” [...]

scholarly journals Status epilepticus management and mortality risk factors: a retrospective study

2021 ◽  
Author(s):  
M. Hidalgo de la Cruz ◽  
J.A. Miranda Acuña ◽  
E. Luque Buzo ◽  
B. Chavarria Cano ◽  
E. Esteban de Antonio ◽  
...  
Keyword(s):  
Risk Factors ◽  
Retrospective Study ◽  
Status Epilepticus ◽  
Mortality Risk

scholarly journals Perfusion imaging with arterial spin labeling in acute encephalopathy with reduced subcortical diffusion following secondary generalized status epilepticus

2017 ◽  
Vol 9 (1) ◽  
pp. 32-39 ◽  
Author(s):  
Kenta Takahara ◽  
Takato Morioka ◽  
Takafumi Shimogawa ◽  
Toshiyuki Amano ◽  
Aoi Kawakita ◽  
...  
Keyword(s):  
Status Epilepticus ◽  
Perfusion Imaging ◽  
Arterial Spin Labeling ◽  
Spin Labeling ◽  
Acute Encephalopathy
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