Series of patients with febrile status epilepticus: clinical manifestations and long-term follow-up
Background. The conception of febrile status epilepticus includes many syndromes with seizures of different etiologies (fever, infection, autoimmune processes, etc.). Generally developing seizures have a severe course and are difficult to treat.Objective: to classify patients with febrile status epi...
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ABV-press
2020-05-01
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| Series: | Русский журнал детской неврологии |
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| Online Access: | https://rjdn.abvpress.ru/jour/article/view/322 |
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| author | V. E. Kitaeva A. S. Kotov |
| author_facet | V. E. Kitaeva A. S. Kotov |
| author_sort | V. E. Kitaeva |
| collection | DOAJ |
| description | Background. The conception of febrile status epilepticus includes many syndromes with seizures of different etiologies (fever, infection, autoimmune processes, etc.). Generally developing seizures have a severe course and are difficult to treat.Objective: to classify patients with febrile status epilepticus and study their long-term prognosis.Materials and methods. The study included 10 patients (children and adolescents), hospitalized in the intensive care unit, whose epileptic status were associated with a fever.Results. In the analysis of the patients, who were included in the study, 4 subgroups can be distinguished: 1) a short-term period of convulsion against the background of metabolic decompensation caused by a main disease (with a conditionally favorable prognosis for seizures); 2) seizures as a manifestation of organic brain damage or infectious diseases with a serious prognosis of neurological development and seizures; 3) the onset of seizures against the background of fever (absence of any other causes of seizures); the prognosis of getting rid of seizures is variable, long follow-up monitoring is necessary, probably for many years; 4) true febrile infection-related epilepsy syndrome (in our study 1 patient had its classical form, and 1 patient had its less typical form (the onset of the disease at 18 years old – not at school age)).Conclusions. Obtained data illustrate the whole severity of febrile status epilepticus in children, according to follow-up observation, seizures persisted in at least 3 out of 10 patients (2 of them with febrile infection-related epilepsy syndrome), at least three patients had a serious infectious or organic brain pathology. |
| format | Article |
| id | doaj-art-8bb60fc94dce44e8b0101e2acb2ea346 |
| institution | Kabale University |
| issn | 2073-8803 2412-9178 |
| language | Russian |
| publishDate | 2020-05-01 |
| publisher | ABV-press |
| record_format | Article |
| series | Русский журнал детской неврологии |
| spelling | doaj-art-8bb60fc94dce44e8b0101e2acb2ea3462025-08-20T03:44:12ZrusABV-pressРусский журнал детской неврологии2073-88032412-91782020-05-01151283910.17650/2073-8803-2020-15-1-28-39220Series of patients with febrile status epilepticus: clinical manifestations and long-term follow-upV. E. Kitaeva0A. S. Kotov1A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of RussiaM.F. Vladimirsky Moscow Regional Research Clinical InstituteBackground. The conception of febrile status epilepticus includes many syndromes with seizures of different etiologies (fever, infection, autoimmune processes, etc.). Generally developing seizures have a severe course and are difficult to treat.Objective: to classify patients with febrile status epilepticus and study their long-term prognosis.Materials and methods. The study included 10 patients (children and adolescents), hospitalized in the intensive care unit, whose epileptic status were associated with a fever.Results. In the analysis of the patients, who were included in the study, 4 subgroups can be distinguished: 1) a short-term period of convulsion against the background of metabolic decompensation caused by a main disease (with a conditionally favorable prognosis for seizures); 2) seizures as a manifestation of organic brain damage or infectious diseases with a serious prognosis of neurological development and seizures; 3) the onset of seizures against the background of fever (absence of any other causes of seizures); the prognosis of getting rid of seizures is variable, long follow-up monitoring is necessary, probably for many years; 4) true febrile infection-related epilepsy syndrome (in our study 1 patient had its classical form, and 1 patient had its less typical form (the onset of the disease at 18 years old – not at school age)).Conclusions. Obtained data illustrate the whole severity of febrile status epilepticus in children, according to follow-up observation, seizures persisted in at least 3 out of 10 patients (2 of them with febrile infection-related epilepsy syndrome), at least three patients had a serious infectious or organic brain pathology.https://rjdn.abvpress.ru/jour/article/view/322status epilepticusseizuresfever |
| spellingShingle | V. E. Kitaeva A. S. Kotov Series of patients with febrile status epilepticus: clinical manifestations and long-term follow-up Русский журнал детской неврологии status epilepticus seizures fever |
| title | Series of patients with febrile status epilepticus: clinical manifestations and long-term follow-up |
| title_full | Series of patients with febrile status epilepticus: clinical manifestations and long-term follow-up |
| title_fullStr | Series of patients with febrile status epilepticus: clinical manifestations and long-term follow-up |
| title_full_unstemmed | Series of patients with febrile status epilepticus: clinical manifestations and long-term follow-up |
| title_short | Series of patients with febrile status epilepticus: clinical manifestations and long-term follow-up |
| title_sort | series of patients with febrile status epilepticus clinical manifestations and long term follow up |
| topic | status epilepticus seizures fever |
| url | https://rjdn.abvpress.ru/jour/article/view/322 |
| work_keys_str_mv | AT vekitaeva seriesofpatientswithfebrilestatusepilepticusclinicalmanifestationsandlongtermfollowup AT askotov seriesofpatientswithfebrilestatusepilepticusclinicalmanifestationsandlongtermfollowup |