Is Lumbar Puncture Mandatory for First Simple Febrile Seizures Among Children 6 to 18 Months of Age

Mohamed Ameen, Dalal; Abdul Hassan, Faiq; Imran Moosa, Abdulkadhim

	Is Lumbar Puncture Mandatory for First Simple Febrile Seizures Among Children 6 to 18 Months of Age
Kerbala Journal of Medicine
Article 13, Volume 5, Issue 11, 2012, Pages 1262-1267 PDF (0 K)
Authors
Dalal Mohamed Ameen; Faiq Abdul Hassan; Abdulkadhim Imran Moosa
Abstract
background: Fever with seizure,is a common complaint with which a child may presented to the emergency department ,is mainly due to febrile seizure, but it may also be duo to central nervous system infection. Objective: This study was done to evaluate the utility of Lumbar puncture for first simple febrile seizures among children 6 to 18 months of age. Method: A prospective study was conducted in emergency department of Karbala teaching hospital for children. Patients who were presented with first simple febrile seizure in age group 6 to 18 months were included. Lumbar puncture was done and meningitis diagnosed on the bases of either cytological and biochemical criteria or Cerebrospinal Fluid culture. Results: Out of 105 patients with First simple febrile seizure, 41 patients (39.05%) were 6 to 12 months old, 41.5% of them had meningitis while 64 patients (60.95%) were 12 to 18 months old, and 17.2% of them had meningitis. Cerebrospinal Fluid, cultures were negative in all cases. meningitis was more in males than females for both age groups with a male:female ratio 3:1. Conclusion: First simple febrile seizure is a common pediatric emergency and high percent of patients with this sole presentation had meningitis. Key words: First simple febrile seizure, Lumbar puncture ,Meningitis. Abbreviations .FSFS:First simple febrile seizure,L.P: Lumbar puncture,CSF: Cerebrospinal Fluid, P value :Probability Value.
Keywords
First simple febrile seizure; Lumbar puncture; Meningitis

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