AFEBRILE BENIGN CONVULSIONS ASSOCIATED WITH MILD GASTROENTERITIS
DOI:
https://doi.org/10.25753/BirthGrowthMJ.v22.i1.12896Keywords:
Benign entity, afebrile seizures, children, acute gastroenteritis, rotavirusAbstract
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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References
E, Chiarelli F.
Afebrile benign convulsions with mild gastroenteritis: a new
entity? Acta Neurol. Scand 2009;120:73 -9.
Dinis MJ, Teles A, Chorão R, Carrilho I, Santos M. Convulsões
apiréticas benignas associadas a gastroenterite aguda ligeira
(CABAGAL) na criança. Saúde Infantil 2009; 31:125 -8.
Narchi H. Benign afebrile cluster convulsions with gastroenteritis:
an observational study. BMC Pediatrics 2004;4:2.
Chen S, Tsai C, Lai M, Chen C, Lin K, Lin T, et al. Norovirus
infection as a cause of diarrhea -associated benign infantile
seizures. Clin Infect Dis 2009;48:849 -55.
Caraballo R, Ganez L, De los Santos C, Espeche A, Cersósimo
R, Fejerman N. Benign infantile seizures with gastroenteritis:
Study of 22 patients. Seizure 2009;18:686 -9.
Morooka K. Convulsions and mild diarrhea. Shonika Rinsho
;23:131 -7.
Verrotti A, Nanni G, Agostinelli S, Parisi P, Copovilla G,
Beccaria F, et al. Benign convulsions associated with mild
gastroenteritis: A multicenter clinical study. Epilepsy Res
;93:107 -14.
Saadelin IY. Electroclinical features of benign infantile seizures
with mild gastroenteritis. Epileptic Disord 2011;13:8 -17.
Cusmai R, Jocic -Jakubi B, Cantonetti L, Japaridze N, Vigevano
F. Convulsions associated with gastroenteritis in
spectrum of benign focal epilepsies in infancy: 30 cases including
four cases with ictal EEG recording. Epileptic Disord
;12:255 -61.
Patteau G, Stheneur C, Chevallier B, Parez N. Convulsions
non fébriles bénignes associées à une gastro -entérite aigue à
rotavirus chez l´enfant. Arch Pediatr 2010;17: 1527 -30.
Martí I, Cilla G, Gomáriz M, Eizaguirre J, Gárcia- Pardos C,
Pérez -Yarza EG. Rotavirus y crisis convulsivas. Una associación
poco frecuente aunque bien deÞ nida. An Pediatr (Barc)
;73:70 -3.
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