عوامل خطر در ايجاد صرع پايدار راجعه در مركز پزشكي كودكان تبريز

Risk Factors of Recurrent Status Epilepticus in Tabriz Children Medical Center

Background and Objectives: Status epilepticus is a life threatening condition and this critical condition may recur for a patient. The aim of this article is to study the recurrent status epilepticus risk factors in children. Method and Material: Children with age of greater than 1 month and with status epilepticus who referred to Tabriz children hospital were studied according to age, sex, etiologic factors, seizure type, refractory status epilepticus and recurrence of status epilepticus. Results: Eight cases (9.63%) of 83 patients with status epilepticus were recurrent status epilepticus. Mean age of the patients with recurrent and non recurrent status epilepticus was respectively 67±57.16 month and 45.56 ± 44.49 month. The most common of etiologies in patients with recurrent status epilepticus were respectively acute symptomatic (50%), remote symptomatic (25%) and idiopathic (25%). The risk of recurrent status epilepticus in acute symptomatic group was 17.4%. Recurrent status epilepticus occurred in 10% of patients with generalized tonic-clonic seizure and 17.4% of patients with refractory status epilepticus as the first clinical presentation. There is no significant difference between patients with recurrent and non recurrent status epilepticus according to age, sex, etiology and being refractory as the first clinical presentation. Conclusion: Recurrence of status epilepticus occurred in 10% of our patients during one year follow up. The risk of recurrence is greater in patients with acute symptomatic, generalized tonic-clonic and refractory status epilepticus but this difference is not statistically significant.