AFEBRILE BENIGN CONVULSIONS ASSOCIATED WITH MILD GASTROENTERITIS

  • Catarina Matos Department of Pediatrics, Centro Hospitalar Tâmega e Sousa
  • Susana Lira Department of Pediatrics, Centro Hospitalar Tâmega e Sousa
  • Carla Brandão Department of Pediatrics, Centro Hospitalar Tâmega e Sousa
  • Leonilde Machado Department of Pediatrics, Centro Hospitalar Tâmega e Sousa
Keywords: Benign entity, afebrile seizures, children, acute gastroenteritis, rotavirus

Abstract

Introduction: Benign afebrile convulsions associated with mild acute gastroenteritis are seizures that occur in apyrexia, accompanying acute gastroenteritis without dehydration or electrolyte imbalance.
Case report: We describe the case of a 15 months old child, with the occurrence of three seizures within a few hours associated with mild acute gastroenteritis, with no fever or clinical signs of dehydration. Laboratory tests revealed no hydroelectrolytic changes. Rotavirus antigen in stool was positive. EEG and brain CT showed no abnormalities. No speciÞ c treatment was started, and outcome was good, with no further seizures in less than 24 hours and improvement of gastrointestinal symptoms in four days. There was no recurrence of seizures and subsequent psychomotor development was normal.
Conclusion: The authors aim to highlight the importance of recognizing this entity and its benign nature, being self-limited and with an excellent outcome, avoiding an extensive investigations and long-term therapy with antiepilepyic drugs.

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Published
2017-08-22
Section
Case Reports