Recurrencias de crisis convulsivas febriles en niños de 6 meses a 5 años en la emergencia pediátrica del Hospital General Milagro en el año 2019.

Abstract

Introduction: Febrile seizures (CCF) are the most frequent seizure disorder in the first years of life, as well as frequent pathology in pediatric emergencies. They are critical seizure events with fever peaks in patients from 6 months to 5 years without involvement of the nervous system. central (CNS), metabolic disorders or previous neurological abnormalities. It is a benign, self-limiting disorder without presenting long-term neurological sequelae. The incidence of CCF is approximately 2 to 5%. Children with a first-degree family history of TLC patients have a higher risk of suffering from this disorder. Objective: To evaluate the recurrence of febrile seizures in children from 6 months to 5 years of age in the pediatric emergency. Material and methods: An observational, descriptive, cross-sectional, retrospective investigation was carried out at the IESS Hospital “Federico Bolaños Morera” from the canton of Milagro, Ecuador, between January 2019 and December 2019 , with patients diagnosed with febrile seizures. Results: A greater presence of female patients predominated (73%; 143/196) than male (27%; 53/196). The most frequent age group was 1 year (46.4%; 91/196) followed by those of 2 years 28%; (55/196), Recurrent febrile seizure crisis occurred in 62.4% (122/196) of the aforementioned cases. Conclusion: CCF are the most common cause of seizure in pediatric patients younger than 5 years, affecting 3-5% of this population, with a peak incidence at 18 months. It should be noted that the most frequent febrile seizure is simple, with 77% of predominance over complex seizures within recurrent seizures.