ABSTRACT

In this study; We showed that sodium levels decreased significantly in febrile seizure, low sodium was significant in children with complex febrile seizures and it was a determining risk factor for recurrence of seizures.

When logistic regression analysis was performed, regardless of age and gender, patients with sodium values <134.5 were found to be 10.13 times more risky for febrile seizures than those with sodium values <134.5. There was no significant relationship between serum potassium and calcium levels. 66.3% of patients with febrile seizures and 64% of patients with CFN had a sodium value below 134.5 mmol / L. The sensitivity and specificity for crosstabs sodium were 66.3% and 83.7%, and the positive predictive value was 80.8% and 70.6%, respectively. Seizure frequency of patients with moderate hyponatremia (132-133) was proportional to increase in seizure frequency compared to other sodium levels (r = 0.389, r = 0.434, p <0.05).

Between 2014 and 2018, 537 children (273 children with febrile seizures and 264 children with fever without seizures) were included in the study. Patients were divided into two groups; simple febrile seizure (BFN) and complex febrile seizure (CFN). BFN; single seizure not showing focalness less than 15 minutes; CFN was taken as a recurrent seizure multiple times within> 15 minutes and 24 hours with focal. Electrolyte values were evaluated with venous blood samples at admission with febrile seizures.

Febrile seizure is most common neurological condition in childhood. It is seen as simple, complex febrile seizure and febrile status. Prolonged febrile seizure and electrolyte disturbances cause this condition to worsen and relaps.