Risk of intracranial pathologic conditions requiring emergency intervention after a first complex febrile seizure episode among children

David Teng, Peter Dayan, Sarah Tyler, W. Allen Hauser, Stephen Chan, Linda D Leary, Dale Hesdorffer

Research output: Contribution to journalArticle

43 Citations (Scopus)

Abstract

OBJECTIVE. To determine the likelihood of intracranial pathologic conditions requiring emergency neurosurgical or medical intervention among children without meningitis who presented to the pediatric emergency department after a first complex febrile seizure. METHODS.We performed a retrospective review of prospectively collected data for children in neurologically normal condition who presented to a single pediatric emergency department after a first complex febrile seizure (focal, multiple, or prolonged). The complex febrile seizure classification was determined independently by 2 epileptologists. The presence of intracranial pathologic conditions was determined through review of neuroimaging results, telephone interviews, or medical record review. RESULTS. Data for 71 children with first complex febrile seizures were analyzed. Fifty-one (72%) had a single complex feature (20 focal, 22 multiple, and 9 prolonged), and 20 (28%) had multiple complex features. None of the 71 patients (1-sided 95% confidence interval: 4%) had intracranial pathologic conditions that required emergency neurosurgical or medical intervention. CONCLUSIONS. For children with first complex febrile seizures, the risk of intracranial pathologic conditions that require emergency neurosurgical or medical intervention is low, which suggests that routine emergency neuroimaging for this population is unnecessary.

Original languageEnglish (US)
Pages (from-to)304-308
Number of pages5
JournalPediatrics
Volume117
Issue number2
DOIs
StatePublished - Feb 2006
Externally publishedYes

Fingerprint

Febrile Seizures
Emergencies
Neuroimaging
Hospital Emergency Service
Pediatrics
Meningitis
Medical Records
Seizures
Confidence Intervals
Interviews
Population

Keywords

  • Complex febrile seizures
  • Emergency intracranial pathology
  • Neuroimaging

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Risk of intracranial pathologic conditions requiring emergency intervention after a first complex febrile seizure episode among children. / Teng, David; Dayan, Peter; Tyler, Sarah; Hauser, W. Allen; Chan, Stephen; Leary, Linda D; Hesdorffer, Dale.

In: Pediatrics, Vol. 117, No. 2, 02.2006, p. 304-308.

Research output: Contribution to journalArticle

Teng, David ; Dayan, Peter ; Tyler, Sarah ; Hauser, W. Allen ; Chan, Stephen ; Leary, Linda D ; Hesdorffer, Dale. / Risk of intracranial pathologic conditions requiring emergency intervention after a first complex febrile seizure episode among children. In: Pediatrics. 2006 ; Vol. 117, No. 2. pp. 304-308.
@article{77ec0a99cede46d081188120a0afbed6,
title = "Risk of intracranial pathologic conditions requiring emergency intervention after a first complex febrile seizure episode among children",
abstract = "OBJECTIVE. To determine the likelihood of intracranial pathologic conditions requiring emergency neurosurgical or medical intervention among children without meningitis who presented to the pediatric emergency department after a first complex febrile seizure. METHODS.We performed a retrospective review of prospectively collected data for children in neurologically normal condition who presented to a single pediatric emergency department after a first complex febrile seizure (focal, multiple, or prolonged). The complex febrile seizure classification was determined independently by 2 epileptologists. The presence of intracranial pathologic conditions was determined through review of neuroimaging results, telephone interviews, or medical record review. RESULTS. Data for 71 children with first complex febrile seizures were analyzed. Fifty-one (72{\%}) had a single complex feature (20 focal, 22 multiple, and 9 prolonged), and 20 (28{\%}) had multiple complex features. None of the 71 patients (1-sided 95{\%} confidence interval: 4{\%}) had intracranial pathologic conditions that required emergency neurosurgical or medical intervention. CONCLUSIONS. For children with first complex febrile seizures, the risk of intracranial pathologic conditions that require emergency neurosurgical or medical intervention is low, which suggests that routine emergency neuroimaging for this population is unnecessary.",
keywords = "Complex febrile seizures, Emergency intracranial pathology, Neuroimaging",
author = "David Teng and Peter Dayan and Sarah Tyler and Hauser, {W. Allen} and Stephen Chan and Leary, {Linda D} and Dale Hesdorffer",
year = "2006",
month = "2",
doi = "10.1542/peds.2005-0759",
language = "English (US)",
volume = "117",
pages = "304--308",
journal = "Pediatrics",
issn = "0031-4005",
publisher = "American Academy of Pediatrics",
number = "2",

}

TY - JOUR

T1 - Risk of intracranial pathologic conditions requiring emergency intervention after a first complex febrile seizure episode among children

AU - Teng, David

AU - Dayan, Peter

AU - Tyler, Sarah

AU - Hauser, W. Allen

AU - Chan, Stephen

AU - Leary, Linda D

AU - Hesdorffer, Dale

PY - 2006/2

Y1 - 2006/2

N2 - OBJECTIVE. To determine the likelihood of intracranial pathologic conditions requiring emergency neurosurgical or medical intervention among children without meningitis who presented to the pediatric emergency department after a first complex febrile seizure. METHODS.We performed a retrospective review of prospectively collected data for children in neurologically normal condition who presented to a single pediatric emergency department after a first complex febrile seizure (focal, multiple, or prolonged). The complex febrile seizure classification was determined independently by 2 epileptologists. The presence of intracranial pathologic conditions was determined through review of neuroimaging results, telephone interviews, or medical record review. RESULTS. Data for 71 children with first complex febrile seizures were analyzed. Fifty-one (72%) had a single complex feature (20 focal, 22 multiple, and 9 prolonged), and 20 (28%) had multiple complex features. None of the 71 patients (1-sided 95% confidence interval: 4%) had intracranial pathologic conditions that required emergency neurosurgical or medical intervention. CONCLUSIONS. For children with first complex febrile seizures, the risk of intracranial pathologic conditions that require emergency neurosurgical or medical intervention is low, which suggests that routine emergency neuroimaging for this population is unnecessary.

AB - OBJECTIVE. To determine the likelihood of intracranial pathologic conditions requiring emergency neurosurgical or medical intervention among children without meningitis who presented to the pediatric emergency department after a first complex febrile seizure. METHODS.We performed a retrospective review of prospectively collected data for children in neurologically normal condition who presented to a single pediatric emergency department after a first complex febrile seizure (focal, multiple, or prolonged). The complex febrile seizure classification was determined independently by 2 epileptologists. The presence of intracranial pathologic conditions was determined through review of neuroimaging results, telephone interviews, or medical record review. RESULTS. Data for 71 children with first complex febrile seizures were analyzed. Fifty-one (72%) had a single complex feature (20 focal, 22 multiple, and 9 prolonged), and 20 (28%) had multiple complex features. None of the 71 patients (1-sided 95% confidence interval: 4%) had intracranial pathologic conditions that required emergency neurosurgical or medical intervention. CONCLUSIONS. For children with first complex febrile seizures, the risk of intracranial pathologic conditions that require emergency neurosurgical or medical intervention is low, which suggests that routine emergency neuroimaging for this population is unnecessary.

KW - Complex febrile seizures

KW - Emergency intracranial pathology

KW - Neuroimaging

UR - http://www.scopus.com/inward/record.url?scp=33644869151&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33644869151&partnerID=8YFLogxK

U2 - 10.1542/peds.2005-0759

DO - 10.1542/peds.2005-0759

M3 - Article

C2 - 16452347

AN - SCOPUS:33644869151

VL - 117

SP - 304

EP - 308

JO - Pediatrics

JF - Pediatrics

SN - 0031-4005

IS - 2

ER -