Health Condition 1: null- Neurologically Normal Children With First Episode of Afebrile Seizures
Conditions
Interventions
Intervention1: Neuroimaging: The standard MRI sequence employed for evaluation shall include sagittal and axial T1, axial spin-echo proton density and T2, coronal T2, and high-resolution coronal T2 of
Sponsors
ESI Hospital and Postgraduate Institute of Medical Sciences Research ESIPGSMR
Eligibility
Inclusion criteria
Inclusion criteria: ? Presenting to the Pediatric department of ESI hospital with first episode of unprovoked, afebrile generalized tonic clonic or tonic, or partial seizures (or suspected seizures) ? Neurologically normal children No development delay on history and no evidence of Neuroregression Normal head circumference No abnormal neurological findings Normal fundus examination
Exclusion criteria
Exclusion criteria: 1. Status epilepticus; 2. Seizures associated with o an acute CNS infection (e.g., meningitis, encephalitis), o head injury, or o systemic illness known to be associated with seizures (e.g., Shigella encephalopathy, SSPE); 3. Admitted for a suspicion of seizure but discharged with an alternated diagnosis e.g., breath-holding spell, pseudoseizure; 4. Recognizable dysmorphism or neurocutaneous syndrome; and 5. Persistent alteration of mental status or failure to return to baseline after the seizure
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| ?Proportion of investigations having clinically relevant information (CRI) in children evaluated initially with neuroimaging OR EEG.Timepoint: Four weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| ? Etiologies of first afebrile seizure in children ? Time taken to schedule the investigations in children with FAS ? Number of hospital visits made for investigative workup of FAS ? Adverse events associated with investigations in children with FAS Timepoint: Four weeks | — |
Countries
India
Contacts
Public ContactDr Jyoti Bagla
ESIPGSMR
Outcome results
None listed