Abstract OBJECTIVE: To study the prevalence and clinical features of febrile convulsion (FC) among pupils in the Wenzhou region, Zhejiang Province, China. METHODS: Using a random stratified cluster sampling method, 6406 children under 12 years from two primary schools of urban areas and two primary schools of rural areas were surveyed. RESULTS: The prevalence of FC was 3.67% (235/6406). Most children (75.7%) experienced their first onset of FC at 6 months to 3 years of age (median: 16 months). The seizures were generalized (95.3%, 224/235), with a duration of less than 10 min utes (86.4%, 203/235). FC was developed into epilepsy in 13 children (5.5%) who all sufferred from complex FC. Relapses were noted in 88 cases (37.4%), among whom 38 patients had only 1 recurrence and 50 patients had 2 or more relapses. EEG was performed in 200 cases, among whom 12(6.0%) showed abnormalities. CONCLUSIONS: The prevalence of FC is 3.67% among pupils in the Wenzhou region. The seizures are generalized, with a short duration. A part of complex FC can be developed into subsequent epilepsy.
SHI Xu-Lai,LIN Zhong-Dong,YE Xiu-Yun et al. An epidemiological survey of febrile convulsions among pupils in the Wenzhou region[J]. 中国当代儿科杂志, 2012, 14(2): 128-130.
SHI Xu-Lai,LIN Zhong-Dong,YE Xiu-Yun et al. An epidemiological survey of febrile convulsions among pupils in the Wenzhou region[J]. CJCP, 2012, 14(2): 128-130.
[2]Shimony A, Afawi Z, Asher T, Mahajnah M, Shorer Z. Epidemiological characteristics of febrile seizures-comparing between Bedouin and Jews in the Southern part of Israel[J]. Seizure, 2009, 18 (1): 26-29.
[6]Duffner PK, Berman PH, Baumann RJ, Fisher PG, Green JL, Schneider S, et al. Neurodiagnostic evaluation of the child with a simple febrile seizure[J]. Pediatrics, 2011, 127(2): 389-394.
[7]Hirabayashi Y, Okumura A, Kondo T, Magota M, Kawabe S, Kando N, et al. Efficacy of a diazepam suppository at preventing febrile seizure recurrence during a single febrile illness[J]. Brain Dev, 2009, 31(6): 414-418.
[8]Pavlidou E, Tzitiridou M, Kontopoulos E, Panteliadis CP. Which factors determine febrile seizure recurrence? A prospective study[J]. Brain Dev, 2008, 30(1): 7-13.
[9]Kolahi AA, Tahmooreszadeh S. First febrile convulsions: inquiry about the knowledge, attitudes and concerns of the patients' mothers[J]. Eur J Pediatr, 2009, 168(2): 167-171.