Seizures complicating infantile and childhood bacterial meningitis

Pediatric Neurology
Chin-Jung ChangCheng-Hsien Lu

Abstract

In this study, 116 patients, at least 1 month of age but younger than 5 years, were identified with culture-proven bacterial meningitis. A comparison was made between the clinical data of the patients with and without seizures during hospitalization. Seizures during acute bacterial meningitis accounted for 47% (55/116) of the episodes. Time interval between the onset of bacterial meningitis and that of seizures was 1 to 20 days (mean, 4 days). Twelve of these 55 patients had one or more afebrile seizures after completing the treatment. At follow-up of at least 1 year after completing treatment, 26 patients had good outcomes, whereas the other 29 patients had poor outcomes. A strong correlation between the findings of abnormalities through neuroimaging and the occurrence of seizures during hospitalization was observed. The long-term outcomes of patients with infantile and childhood bacterial meningitis, who had seizures during the acute phase of bacterial meningitis, were worse than the outcomes of those who did not have such seizures. No child developed late seizures unless there were acute seizures. Factors associated with seizures during acute bacterial meningitis include disturbed consciousness on admission, abnormal neuroim...Continue Reading

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Citations

May 21, 2011·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Sadie A NamaniKreshnike Dedushi
May 4, 2007·Indian Journal of Pediatrics·Pratibha SinghiSunit Singhi
Sep 5, 2012·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·J Sellner, E Trinka
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Jun 14, 2013·International Journal of Otolaryngology·Benson Wahome KaranjaDalton Wamalwa
May 11, 2012·Journal of Microbiology, Immunology, and Infection = Wei Mian Yu Gan Ran Za Zhi·Mu-Chun LinChe-Sheng Ho
May 5, 2009·Médecine et maladies infectieuses·B Mourvillier
Apr 27, 2011·Developmental Medicine and Child Neurology·Pratibha Singhi
Apr 24, 2016·The Journal of Infection·Marjolein J LucasDiederik van de Beek

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