Podcast 643: Convulsions with Gastroenteritis

5:14
 
Share
 

Manage episode 285684967 series 1397179
By medicalminute and Emergency Medical Minute. Discovered by Player FM and our community — copyright is owned by the publisher, not Player FM, and audio is streamed directly from their servers. Hit the Subscribe button to track updates in Player FM, or paste the feed URL into other podcast apps.

Contributor: Jared Scott, MD

Educational Pearls:

  • Differential Diagnosis: non-accidental trauma, febrile seizure, meningitis, hyponatremia, epilepsy
  • Convulsions with gastroenteritis is a known entity to cause seizures in infancy
    • Predominantly occurs in ages 6 months to 3 years
    • Occur with diarrheal episodes
    • No electrolyte abnormalities associated with the seizure nor severe dehydration
    • Seizures tend to come in clusters
    • Most have a normal EEG and do not develop epilepsy
    • Reported incidence in gastroenteritis of 1-2% of gastroenteritis
    • Treatment addresses the seizures but long term anti-epileptic drugs are typically not needed

References

Kang B, Kwon YS. Benign convulsion with mild gastroenteritis. Korean J Pediatr. 2014;57(7):304-309. doi:10.3345/kjp.2014.57.7.304

Ma X, Luan S, Zhao Y, Lv X, Zhang R. Clinical characteristics and follow-up of benign convulsions with mild gastroenteritis among children. Medicine (Baltimore). 2019;98(2):e14082. doi:10.1097/MD.0000000000014082

Image credit: Kurt Christensen

Summarized by John Spartz, MS3 | Edited by Erik Verzemnieks, MD

784 episodes