Naslov
Lumbar puncture and febrile convulsions

Autori
La Grasta, Lavinia ; Cvitanović-Šojat, Ljerka ; Mučić-Pucić, Branka ; Gojmerac, Tomislav ; Hajnžić, Tomislav Franjo ; Jurčić, Zvonimir

Izvornik
Pediatria Croatica 41 (1997), 2;

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, kongresno priopcenje, znanstveni

Ključne riječi
Lumbar puncture; Febrile Convulsions

Sažetak
Introduction: Febrile seizures represent a very dramatic event with total incidence between 2-5% (Pediatrics 1996, 97:769-771). They can be the presenting sign of meningitis, while meningeal signs may be absent. Lumar puncture (LP) is performed in order to identify children whose seizures with fever are secondary to CNS infection. MAterial and methods: Within 10 years, 302 children were admitted to our pediatric ward with first febrile seizures. in 30 patients LP was not done, in 27 was punctio sicca and in 245 LP was successful. From this last group, 14 (5,7%) children had abnormal CSF fidings. We have compared group of children with normal and abnormal CSF. They have been found to be very similar regarding age range (3-64 months compared to 3-51 months), mean age (21,5 months compared to 21,3 months) and sex - 123 boys (53,2%) and 108 girls (46,8%) compared to 8 boys (57,1%) and 6 girls (42,9%). Results: Five children were sent directly to Clinic for infectious diseases immediately after LP (4 had 480-3280 cells/mm3 with polymorphonuclear (PMN) predomination, 1 had 64 cells/mm3 with mononuclear (MO) prevalence). Another 3 patients were transfered within first 24 hours of hospitalization - one had meningococcal meningitis and other two had clinical and CSF findings compatible with possible herpes simplex meningoencephalitis. The remaining 6 children had CSF pleocytosis with less than 300 cells/mm3 with prevalence of PMN in 5 and MO in 1 child. Biochemical parameters were within the normal range and CSF cultures were sterile. Conclusion: From the children with meningitis admitted to hospital only 1 had positive meningeal signs. From our experience LP should remain a routine investigation for children with first febrile seizures aged less than 36 months.

Izvorni jezik
Engleski

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