Estimation of Serum Sodium and Glucose Levels in Acute Febrile Convulsions
European Journal of Molecular & Clinical Medicine,
2021, Volume 8, Issue 4, Pages 1533-1538
AbstractBackground: Febrile seizures are a common occurrence in children below the age of 5 years. There is a possibility of recurrence in one-third of these cases. We in the current study tried to evaluate the serum sodium and glucose levels in cases with acute febrile convulsions admitted to our hospital.
Methods: This was a cross-sectional study was conducted in the Department of Pediatrics, cases admitted in Pediatrics wards, Bhaskar Medical College and General Hospital, Moinabad, Hyderabad, Telangana State. All cases with febrile seizures were admitted for the first time to our hospital. Febrile seizures (Febrile seizures are defined as a seizure occurring in association with a febrile illness, in the absence of CNS infection or any other defined cause of seizures). Results: Out of n=100 cases studied the most common cause of febrile convulsions in cases of this study was upper respiratory infections in 89% of cases. The duration of convulsion revealed most of the convulsions were lasting for < 5 minutes in 68% of cases. Between 5 – 10 minutes in 28% of cases and > 10 minutes in 4% of cases and the cases were with hyponatremia. No family history of febrile convulsions was recorded in 77% of cases and positive family history of convulsion was found in 33% of cases. Blood glucose levels were found to be normal in 84% of cases and high glucose levels in 6% of cases.
Conclusions: The study finds that febrile convulsions are more common in males as compared to females. The serum sodium levels in 50% of cases were found to be lower and a greater number of males were with hyponatremia as compared to females. The severity of hyponatremia was also associated with a significantly increased duration of convulsions.
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