FREQUENCY OF RECURRENT CONVULSIONS AFTER A FIRST FEBRILE SEIZURE: TWO-YEAR OBSERVATION RESULTS
Autori:
Nevzeta Mustafić, Husref Tahirović, Jasmina Trnovčević
Sažetak
Sažetak. Febrilne konvulzije najčešći su neurološki poremećaj ranog djetinjstva. Trećina djece s febrilnim konvulzijama imat će recidiv, a samo kod malog broja razvit će se afebrilni napadaji s varijantom epilepsije. Cilj rada bio je da se retrospektivnom studijom utvrdi učestalost recidiva konvulzija u odnosu na dob, vrstu recidiva te primijenjenu vrstu profilakse u djece u Tuzlanskom kantonu u dvogodišnjem periodu nakon prvoga febrilnog napadaja. Od 716 ispitanika recidiv je imalo 21,9%. Recidiv po tipu jednostavnih febrilnih konvulzija imala su 124 (78,9%), složeni 18 (11,5%), a afebrilni napadaj imalo je 14 (9,8%) ispitanika. Nije bilo statistički značajne razlike u pojavi recidiva između ispitanika koji su primali kontinuiranu i diskontinuiranu profilaksu, kao ni u odnosu na vrstu kontinuirane profilakse. Poznavanje učestalosti pojave recidiva po dobnim skupinama otvara mogućnost prevencije recidiva adekvatnim terapijskim mjerama, osobito u kućnim uvjetima. Dobra edukacija roditelja bila bi prvi korak u prevenciji recidiva.
Summary
Summary. Febrile convulsions are the most frequent neurological disorder of early childhood. One third of children with febrile convulsions will have a recurrence, and only a small number will develop afebrile convulsions with epilepsy variation. The aim of the work was to establish the frequency of convulsion recurrence through the retrospective study with regard to age, type of recurrence, and applied prophylaxis in children in Tuzla Canton in a two-year period after the first febrile convulsion. Amongst 716 patients, 21.9% had a recurrence. Recurrence of simple febrile convulsions occurred in 124 (78.9%), complex in 18 (11.5%), and 14 (9.8%) patients had afebrile convulsions. There was no statistically significant difference in recurrence appearance between patients who received continuous and intermittent prophylaxis or different type of continuous prophylaxis. Knowledge of recurrence frequency according to age groups opens the possibility of recurrence prevention with adequate therapeutic measures, especially in home care conditions. Good parent education would represent the first step in recurrence prevention.
