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Complex febrile seizures: Study of the associated pathology and practical use of complementary tests
Crisis febriles complejas: estudio de la patología asociada y utilidad de las pruebas complementarias
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Espinosa" "apellidos" => "Fernández" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "A. Urda" "apellidos" => "Cardona" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Hospitalización Pediatría, Unidad de Gestión Clínica de Pediatría, Hospital Materno Infantil Carlos Haya, Malaga, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Sección Neuropediatría, Unidad de Gestión Clínica de Pediatría, Hospital Materno Infantil Carlos Haya, Malaga, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Crisis febriles complejas: estudio de la patología asociada y utilidad de las pruebas complementarias" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2012-12-25" "fechaAceptado" => "2013-06-26" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec330022" "palabras" => array:5 [ 0 => "complex febrile seizure" 1 => "Seizures" 2 => "Fever" 3 => "Epilepsy" 4 => "Management" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec330021" "palabras" => array:4 [ 0 => "Crisis febril compleja" 1 => "Convulsiones" 2 => "Fiebre" 3 => "Epilepsia ;Manejo" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle" id="sect0010">Introduction</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Although one third of febrile seizures are complex, a consensus has still not been reached on how to manage them, as is the case with simple febrile seizures. The objective of this study is to estimate the usefulness of complementary examinations and the risk of associated serious intracranial pathology.</p> <span class="elsevierStyleSectionTitle" id="sect0015">Patients and methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A retrospective review was conducted from 2003 until 2011 on patients from 6 months to 6 years presenting with a complex febrile seizure admitted to a tertiary care hospital, excluding the cases with previous neurological disease. Epidemiological and clinic variables were collected, as well as complementary tests and complications.</p> <span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">We found 65 patients (31 females and 34 males), of whom 44 had repeated seizures in the first 24<span class="elsevierStyleHsp" style=""></span>hours, with 15 having focal seizures. The vast majority (90%) of the recurrences occurred before 15<span class="elsevierStyleHsp" style=""></span>hours. The mean age was 20.7 months and temperature was 39.1 ± 0.12<span class="elsevierStyleHsp" style=""></span>°C. None of the patients had severe intracranial pathology. The electroencephalogram gave no helpful information for the diagnosis. Neuroimaging was normal in all studied cases.</p> <span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The incidence of complications in complex febrile seizure in our series did not justify the systematic admission or the systematic study with complementary tests when the neurological examination was normal. The routine electroencephalogram does not appear to be justified.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle" id="sect0035">Introducción</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Un tercio de las crisis febriles son complejas. Su manejo no ha suscitado un consenso como en el caso de las crisis febriles simples. El objetivo de este estudio es estimar la rentabilidad de los exámenes complementarios y el riesgo de enfermedad intracraneal grave asociada.</p> <span class="elsevierStyleSectionTitle" id="sect0040">Pacientes y métodos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Estudio retrospectivo desde el año 2003 hasta el 2011 de los pacientes ingresados en un hospital de tercer nivel con criterios de convulsión febril compleja de 6 meses a 6 años, excluyendo los casos con afección neurológica previa. De los pacientes seleccionados, se recogieron variables epidemiológicas, clínicas, pruebas complementarias y complicaciones.</p> <span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Se encontró a 65 pacientes (31 mujeres y 34 varones) de los cuales 44 tuvieron crisis repetidas en las primeras 24<span class="elsevierStyleHsp" style=""></span>h y 15 presentaron crisis focales. El 90% de la recurrencia ocurrió antes de 15<span class="elsevierStyleHsp" style=""></span>h. La edad media fue de 20,7 meses y la temperatura fue de 39,1 ± 0,12<span class="elsevierStyleHsp" style=""></span>°C. En ningún paciente se encontró afección intracraneal grave durante su ingreso. El electroencefalograma no ofreció información de ayuda para su diagnostico. La neuroimagen fue normal en todos los casos estudiados.</p> <span class="elsevierStyleSectionTitle" id="sect0050">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">La incidencia de complicaciones en la convulsión febril compleja en nuestra serie no justificó el ingreso ni el estudio sistemático con pruebas complementarias cuando la exploración neurológica era normal. El electroencefalograma de rutina no parece estar justificado.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Berzosa López R, Ramos Fernández JM, Martínez Antón J, MA Espinosa Fernández, Urda Cardona A. Crisis febriles complejas: estudio de la patología asociada y utilidad de las pruebas complementarias. 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Seizure. 2005;14:429-34." ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23412879/0000008000000006/v1_201406260028/S234128791400026X/v1_201406260028/en/main.assets" "Apartado" => array:4 [ "identificador" => "26005" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Original Articles" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23412879/0000008000000006/v1_201406260028/S234128791400026X/v1_201406260028/en/main.pdf?idApp=UINPBA00005H&text.app=https://www.analesdepediatria.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S234128791400026X?idApp=UINPBA00005H" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 October | 58 | 44 | 102 |
| 2024 September | 60 | 30 | 90 |
| 2024 August | 64 | 65 | 129 |
| 2024 July | 36 | 44 | 80 |
| 2024 June | 38 | 37 | 75 |
| 2024 May | 37 | 35 | 72 |
| 2024 April | 47 | 37 | 84 |
| 2024 March | 36 | 26 | 62 |
| 2024 February | 38 | 27 | 65 |
| 2024 January | 22 | 27 | 49 |
| 2023 December | 26 | 26 | 52 |
| 2023 November | 27 | 24 | 51 |
| 2023 October | 31 | 22 | 53 |
| 2023 September | 30 | 24 | 54 |
| 2023 August | 34 | 21 | 55 |
| 2023 July | 27 | 22 | 49 |
| 2023 June | 29 | 33 | 62 |
| 2023 May | 27 | 27 | 54 |
| 2023 April | 33 | 23 | 56 |
| 2023 March | 34 | 27 | 61 |
| 2023 February | 27 | 19 | 46 |
| 2023 January | 28 | 25 | 53 |
| 2022 December | 55 | 34 | 89 |
| 2022 November | 56 | 30 | 86 |
| 2022 October | 52 | 41 | 93 |
| 2022 September | 33 | 51 | 84 |
| 2022 August | 65 | 67 | 132 |
| 2022 July | 45 | 57 | 102 |
| 2022 June | 50 | 55 | 105 |
| 2022 May | 39 | 46 | 85 |
| 2022 April | 58 | 47 | 105 |
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| 2021 December | 60 | 38 | 98 |
| 2021 November | 38 | 62 | 100 |
| 2021 October | 75 | 78 | 153 |
| 2021 September | 49 | 60 | 109 |
| 2021 August | 38 | 61 | 99 |
| 2021 July | 34 | 44 | 78 |
| 2021 June | 55 | 45 | 100 |
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| 2021 April | 129 | 83 | 212 |
| 2021 March | 63 | 39 | 102 |
| 2021 February | 61 | 21 | 82 |
| 2021 January | 47 | 29 | 76 |
| 2020 December | 56 | 44 | 100 |
| 2020 November | 54 | 21 | 75 |
| 2020 October | 79 | 32 | 111 |
| 2020 September | 85 | 40 | 125 |
| 2020 August | 73 | 17 | 90 |
| 2020 July | 79 | 30 | 109 |
| 2020 June | 63 | 26 | 89 |
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| 2020 April | 26 | 23 | 49 |
| 2020 March | 42 | 31 | 73 |
| 2020 February | 25 | 20 | 45 |
| 2020 January | 33 | 19 | 52 |
| 2019 December | 42 | 28 | 70 |
| 2019 November | 28 | 15 | 43 |
| 2019 October | 25 | 16 | 41 |
| 2019 September | 28 | 28 | 56 |
| 2019 August | 38 | 21 | 59 |
| 2019 July | 34 | 28 | 62 |
| 2019 June | 29 | 43 | 72 |
| 2019 May | 81 | 22 | 103 |
| 2019 April | 135 | 41 | 176 |
| 2019 March | 50 | 46 | 96 |
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| 2018 December | 50 | 48 | 98 |
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| 2018 October | 64 | 50 | 114 |
| 2018 September | 29 | 28 | 57 |
| 2018 August | 2 | 0 | 2 |
| 2018 June | 1 | 0 | 1 |
| 2018 May | 4 | 0 | 4 |
| 2018 April | 21 | 0 | 21 |
| 2018 March | 17 | 0 | 17 |
| 2018 February | 7 | 0 | 7 |
| 2018 January | 19 | 0 | 19 |
| 2017 December | 12 | 0 | 12 |
| 2017 November | 13 | 0 | 13 |
| 2017 October | 10 | 0 | 10 |
| 2017 September | 15 | 0 | 15 |
| 2017 August | 11 | 0 | 11 |
| 2017 July | 16 | 0 | 16 |
| 2017 June | 21 | 19 | 40 |
| 2017 May | 24 | 11 | 35 |
| 2017 April | 20 | 9 | 29 |
| 2017 March | 11 | 7 | 18 |
| 2017 February | 7 | 10 | 17 |
| 2017 January | 6 | 5 | 11 |
| 2016 December | 31 | 10 | 41 |
| 2016 November | 34 | 9 | 43 |
| 2016 October | 34 | 17 | 51 |
| 2016 September | 32 | 12 | 44 |
| 2016 August | 24 | 13 | 37 |
| 2016 July | 17 | 18 | 35 |
| 2016 March | 2 | 0 | 2 |
| 2016 January | 1 | 0 | 1 |
| 2015 December | 1 | 0 | 1 |
| 2015 November | 1 | 8 | 9 |
| 2015 October | 2 | 10 | 12 |
| 2015 August | 1 | 0 | 1 |
| 2015 May | 1 | 0 | 1 |
| 2015 March | 1 | 0 | 1 |
| 2015 February | 1 | 0 | 1 |
| 2015 January | 1 | 0 | 1 |
| 2014 December | 3 | 1 | 4 |
| 2014 November | 2 | 0 | 2 |
| 2014 October | 1 | 0 | 1 |
| 2014 September | 2 | 0 | 2 |
| 2014 August | 1 | 0 | 1 |
| 2014 July | 3 | 0 | 3 |
| 2014 June | 18 | 1 | 19 |
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