European Journal of Cardiovascular Medicine

Background:  Seizure is one of the common causes of childhood hospitalization with significant mortality and morbidity. There is limited data regarding acute seizures episodes form the developing countries. Convulsions are not a disease entity but are symptom complex which may result from a vast number of diseases. It is not possible to pin point aetiology in all cases, a good number of cases remain idiopathic. Materials and methods: This was a hospital based retrospective study carried out in Department of Pediatrics, Tertiary Care Teaching Center. Variables collected were demographics, clinical presentations and laboratory tests; brain imaging studies, electroencephalography, diagnosis, prognosis, outcome and duration of hospitalization. Result: Total 90 children were considered for this study. Most common age group was 1-3 years (56.7%), followed by age group 1 month to 12 months (20%). Among all children boys were 54.4% and 45.6% were girls. Atypical febrile seizures was most common cause noted in our study (31.1% patients), followed by meningitis (16.7%), hypogycemia (12.2%), enceplalitis (11.1%). Most patients (58.9%) arrived to our facility within 2 hours of SE onset. 9 (10%) patients had refractory status epilepticus, needed further management. 4 (4.4%) deaths were noted during study period. Conclusion: Seizure is a common problem in children, with the highest incidence in the age group of 1 to 5 years and febrile seizure is the most common type of seizure in children.