Iranian Journal of Child Neurology 2019
Gastroenteritis Related Seizure with or without Fever: Comparison Clinical Features and Serum Sodium Level.
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Results
Among the 165 children 47.3% were female. Vomiting was 2.7±2.6 and 3.9±1.9 times in febrile and afebrile group. Duration of diarrhea was 1.8±1.8 days and 2.1±1.3 days in febrile and afebrile groups (p=0.014). 36% in febrile group and 6.4% in afebrile group experienced seizure within the first 24 h of gastroenteritis (P<0.001). Seizure in 99.1% in febrile and 93.6% in afebrile group was generalized (P>0.05). Seizure was more than 5 min in 51.4% in febrile and 57.4% in afebrile groups (P>0.05). Drowsiness after seizure was seen in 72.9% and 60% in febrile and afebrile group respectively (P>0.05). The serum level of sodium was 137.6±3.98 mEq/L and 138.5±3.78 mEq/L in febrile and afebrile groups (P>0.05). 26.3% in febrile group and 8.5% in afebrile group had hyponatremia (P=0.012). There was no difference in seizure duration between hyponatremic patients and others (P>0.05).