TY - JOUR T1 - Para-infectious seizures: A retrospective multicentre study JO - Anales de Pediatría (English Edition) T2 - AU - Conejo Moreno,David AU - Rodríguez Fernández,Cristina AU - Ruíz Ayúcar de la Vega,Irene AU - Ortiz Madinaveitia,Saturnino AU - Hedrera Fernández,Antonio AU - Maldonado Ruiz,Esther AU - Hernández Fabian,Aranzazu AU - Hortigüela Saeta,María Montesclaros AU - Cancho Candela,Ramón SN - 23412879 M3 - 10.1016/j.anpede.2016.01.012 DO - 10.1016/j.anpede.2016.01.012 UR - https://www.analesdepediatria.org/en-para-infectious-seizures-a-retrospective-multicentre-articulo-S2341287916301387 AB - IntroductionPara-infectious seizures are afebrile seizures that are associated with mild infections, and occur in children with no pre-existing neurological illness. They are still little known in our environment. MethodsA multicentre retrospective study was conducted that included patients with normal psychomotor development and had presented with one or more seizures in the context of a mild afebrile infection. ResultsA total of 38 patients (47% male, 53% female) were included in the study over a period of three years (2012–2015). The mean age was 2.1 years. A previous history of febrile seizures was found in 7.9% of them. Mean number of seizures per patient was 2.2, with 57.9% of them being tonic-clonic seizures. The mean duration of seizures was 3.2min. An EEG was performed during admission in 73.7% of cases. Lumbar punctures were performed in 34.2% of cases. All were normal. Neuroimaging tests were carried out in 36.9% of cases. Brain MRI was the imaging test performed in most cases (21.1%), with no any pathological findings. The most frequent infection found was acute gastroenteritis (68%), followed by upper respiratory tract infection (32%). Almost two-thirds (63.2%) of patients did not require anticonvulsant medication. Rectal diazepam was the most frequently used drug in emergencies. Intravenous medication was required by 28.9% of patients due to repeated seizures. The most frequently used drug in the non-emergency setting was valproic acid. Anticonvulsant treatment was continued after discharge in 16% of patients. Para-infectious seizures was the diagnosis in 76.3% of cases when discharged. ConclusionsKnowledge of para-infectious seizures, their clinical diagnosis and benign course is crucial, as this would avoid further testing and unnecessary treatments. ER -