Clinically important intracranial abnormalities in children presenting with first focal seizure

Turanlı, Güzide; konuşkan, bahadır; Haliloglu, Goknur; Yalnizoglu, Dilek; KASAP, TUBA; TEKSAM, OZLEM; KARLI OGUZ, H.KADER

doi:10.24953/turkjped.2022.256

Clinically important intracranial abnormalities in children presenting with first focal seizure

Tuba KASAP, (Hacettepe Üniversitesi, Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Ankara, Türkiye)

Özlem TEKŞAM, (Hacettepe Üniversitesi, Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Bölümü, Çocuk Acil Tıbbı Anabilim Dalı, Ankara, Türkiye)

Güzide TURANLI, (Hacettepe Üniversitesi, Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Bölümü, Pediatrik Nöroloji Anabilim Dalı, Ankara, Türkiye)

Bahadır KONUŞKAN, (Hacettepe Üniversitesi, Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Bölümü, Pediatrik Nöroloji Anabilim Dalı, Ankara, Türkiye)

Kader KARLI OĞUZ, (Hacettepe Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, Ankara, Türkiye)

Göknur HALİLOĞLU, (Hacettepe Üniversitesi, Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Bölümü, Pediatrik Nöroloji Anabilim Dalı, Ankara, Türkiye)

Dilek YALNIZOĞLU (Hacettepe Üniversitesi, Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Bölümü, Pediatrik Nöroloji Anabilim Dalı, Ankara, Türkiye)

Turkish Journal of Pediatrics

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Yıl: 2023 Cilt: 65 Sayı: 1 Sayfa Aralığı: 96 - 108 Metin Dili: İngilizce DOI: 10.24953/turkjped.2022.256 İndeks Tarihi: 16-05-2023

Clinically important intracranial abnormalities in children presenting with first focal seizure

Öz:

Background. Management of pediatric patients presenting with first seizure is challenging, especially with regards to emergent neuroimaging. The rate of abnormal neuroimaging findings is known to be higher in focal seizures than in generalized seizures, but those intracranial abnormalities are not always clinically emergent. In this study, we aimed to determine the rate and indicators for clinically important intracranial abnormalities that change acute management in children presenting with a first focal seizure to the pediatric emergency department (PED). Methods. This study was conducted retrospectively in the PED at a University Children`s Hospital setting. The study population consisted of patients aged between 30 days and 18 years with first focal seizure and who had emergent neuroimaging at the PED between the years 2001 and 2012. Results. There were 65 eligible patients meeting the study criteria. Clinically important intracranial abnormalities requiring emergent neurosurgical or medical intervention were detected in 18 patients (27.7%) at the PED. Four patients (6.1%) underwent emergent surgical procedures. Seizure recurrence and the need for acute seizure treatment in the PED were significantly associated with clinically important intracranial abnormalities. Conclusions. Neuroimaging study yielding of 27.7% shows that first focal seizure must be evaluated meticulously. From the emergency department`s point of view; we suggest that first focal seizures in children should be evaluated with emergent neuroimaging, if possible with magnetic resonance imaging. Especially patients with recurrent seizures at presentation requires more careful evaluation.

Anahtar Kelime: children first seizure first focal seizure emergent neuroimaging important intracranial abnormalities seizure recurrence

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	KASAP T, TEKSAM O, Turanlı G, konuşkan b, KARLI OGUZ H, Haliloglu G, Yalnizoglu D (2023). Clinically important intracranial abnormalities in children presenting with first focal seizure. , 96 - 108. 10.24953/turkjped.2022.256
Chicago	KASAP TUBA,TEKSAM OZLEM,Turanlı Güzide,konuşkan bahadır,KARLI OGUZ H.KADER,Haliloglu Goknur,Yalnizoglu Dilek Clinically important intracranial abnormalities in children presenting with first focal seizure. (2023): 96 - 108. 10.24953/turkjped.2022.256
MLA	KASAP TUBA,TEKSAM OZLEM,Turanlı Güzide,konuşkan bahadır,KARLI OGUZ H.KADER,Haliloglu Goknur,Yalnizoglu Dilek Clinically important intracranial abnormalities in children presenting with first focal seizure. , 2023, ss.96 - 108. 10.24953/turkjped.2022.256
AMA	KASAP T,TEKSAM O,Turanlı G,konuşkan b,KARLI OGUZ H,Haliloglu G,Yalnizoglu D Clinically important intracranial abnormalities in children presenting with first focal seizure. . 2023; 96 - 108. 10.24953/turkjped.2022.256
Vancouver	KASAP T,TEKSAM O,Turanlı G,konuşkan b,KARLI OGUZ H,Haliloglu G,Yalnizoglu D Clinically important intracranial abnormalities in children presenting with first focal seizure. . 2023; 96 - 108. 10.24953/turkjped.2022.256
IEEE	KASAP T,TEKSAM O,Turanlı G,konuşkan b,KARLI OGUZ H,Haliloglu G,Yalnizoglu D "Clinically important intracranial abnormalities in children presenting with first focal seizure." , ss.96 - 108, 2023. 10.24953/turkjped.2022.256
ISNAD	KASAP, TUBA vd. "Clinically important intracranial abnormalities in children presenting with first focal seizure". (2023), 96-108. https://doi.org/10.24953/turkjped.2022.256

APA	KASAP T, TEKSAM O, Turanlı G, konuşkan b, KARLI OGUZ H, Haliloglu G, Yalnizoglu D (2023). Clinically important intracranial abnormalities in children presenting with first focal seizure. Turkish Journal of Pediatrics, 65(1), 96 - 108. 10.24953/turkjped.2022.256
Chicago	KASAP TUBA,TEKSAM OZLEM,Turanlı Güzide,konuşkan bahadır,KARLI OGUZ H.KADER,Haliloglu Goknur,Yalnizoglu Dilek Clinically important intracranial abnormalities in children presenting with first focal seizure. Turkish Journal of Pediatrics 65, no.1 (2023): 96 - 108. 10.24953/turkjped.2022.256
MLA	KASAP TUBA,TEKSAM OZLEM,Turanlı Güzide,konuşkan bahadır,KARLI OGUZ H.KADER,Haliloglu Goknur,Yalnizoglu Dilek Clinically important intracranial abnormalities in children presenting with first focal seizure. Turkish Journal of Pediatrics, vol.65, no.1, 2023, ss.96 - 108. 10.24953/turkjped.2022.256
AMA	KASAP T,TEKSAM O,Turanlı G,konuşkan b,KARLI OGUZ H,Haliloglu G,Yalnizoglu D Clinically important intracranial abnormalities in children presenting with first focal seizure. Turkish Journal of Pediatrics. 2023; 65(1): 96 - 108. 10.24953/turkjped.2022.256
Vancouver	KASAP T,TEKSAM O,Turanlı G,konuşkan b,KARLI OGUZ H,Haliloglu G,Yalnizoglu D Clinically important intracranial abnormalities in children presenting with first focal seizure. Turkish Journal of Pediatrics. 2023; 65(1): 96 - 108. 10.24953/turkjped.2022.256
IEEE	KASAP T,TEKSAM O,Turanlı G,konuşkan b,KARLI OGUZ H,Haliloglu G,Yalnizoglu D "Clinically important intracranial abnormalities in children presenting with first focal seizure." Turkish Journal of Pediatrics, 65, ss.96 - 108, 2023. 10.24953/turkjped.2022.256
ISNAD	KASAP, TUBA vd. "Clinically important intracranial abnormalities in children presenting with first focal seizure". Turkish Journal of Pediatrics 65/1 (2023), 96-108. https://doi.org/10.24953/turkjped.2022.256