Frequency of Hypocalcemic Fits in Children 2 Months to 2 Years of Age, Presenting with the First Episode of Afebrile Seizures at Hospital Settings in Urban Pakistan: A Cross-Sectional Study

• 作者: Khadija Humayun
• 来源期刊: 儿科学期刊(英文)
• 学科: 医学
• 关键词: HYPOCALCEMIA SEIZURE CONVULSIONS Risk Factors CHILDREN
• 年，卷（期）: 2020,（3）
• 页码范围: 411-422
• 页数: 12页
• 分类号: R73

摘要

<strong>Introduction:</strong> <span style="font-family:""><span style="font-family:Verdana;">Seizures are common in the pediatric age group, occurring approximately 10% of children. Hypocalcemia is one of the most common metabolic causes of afebrile seizures. The objective of the study was to determine the frequency of hypocalcemic fits in children presenting with the first episode of afebrile seizures from 2 months to 2 years of age. </span><b><span style="font-family:Verdana;">Methods: </span></b><span style="font-family:Verdana;">The study was conducted at the Aga Khan hospital Karachi and its three secondary hospitals including the following sites of Kharadar, Hyderabad, and garden. It was a cross-sectional study. The duration of the study was of 6 months from 18th July 2017 to 18th Jan. 2018. All patients who fulfill the inclusion criteria and visited the Pediatric medicine Department of Aga Khan Hospital, Karachi, and its secondary hospitals were included in the study after ethical approval and informed and written consent. A brief history was taken, clinical examination was done and serum calcium level was sent to the institutional laboratory to reach the outcome </span><i><span style="font-family:Verdana;">i</span></i><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;">e</span></i><span style="font-family:Verdana;">. hypocalcemic fits. </span><b><span style="font-family:Verdana;">Result: </span></b><span style="font-family:Verdana;">A total of 85 children presenting with the first episode of afebrile seizures were included. Total of 45 patients (52.98%) were males & 40 patients 2 (47.1%) were females with the mean age were 10.5824 </span></span><span style="font-family:""><span style="font-family:Verdana;">±</span><span><span style="font-family:Verdana;"> 6.84907 months. The hypocalcemic fits were seen in 21 children (24.7%). </span><b><span style="font-family:Verdana;">Discussion: </span></b><span style="font-family:Verdana;">Hypocalcemia is a common cause of afebrile fits