ผลการตรวจคลื่นไฟฟ้าสมองของผู้ป่วยเด็กที่ชักจากไข้สูง ในโรงพยาบาลราชบุรี

บทคัดย่อ

          Febrile convulsion is a common problem in children from 6 months to 5 years old, that is classified as simple or complex type, the latter characterized by frequent recurrence of febrile convulsion itself and progression to epilepsy.

          This study was retrospectively undertaken to review electroencephalographic [EEG] results of 62 complex febrile seizure-children under 15 years of age, who were diagnosed at Ratchaburi hospital during 2 years from October 2000 to September 2002. The indication to request for EEG recording was categorized to :

1. multiple seizure in one episode of illness
2. older age for simple febrile seizure [1^st episode in children over 3 years old, other in child over 5 years old]
3. first episode of febrile seizure is younger than 6 month of age.
4. recurrent febrile seizure more than 2 episodes.
5. seizure time was more than 15 minutes or need respiratory support.

          There were 62 children who were EEG recorded and 18 children [29 %] with epileptiform EEG pattern.