Impact of a rapid systemic guide on pediatric patients with suspicion of epilepsy

Morales Mancías, Lorenzo Raymundo y Vázquez Fuentes, Salvador y Cantú Salinas, Adriana Carlota y De León Flores, Laura y Chávez Luévanos, Beatriz Eugenia y Villarreal Velázquez, Héctor Jorge (2016) Impact of a rapid systemic guide on pediatric patients with suspicion of epilepsy. Medicina universitaria, 18 (71). pp. 63-72. ISSN 1665-5796

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Resumen

Increase the percentage of etiological diagnosis of epilepsy (according to the classification by the 2010 ILAE) using a systematic quick guide for pediatric patients with suspected epilepsy. Methods: Ambispective cohort study. Patients under 16 years old with suspected epilepsy were studied, and a systematic quick guide was applied to the prospective group, and later the two groups were compared. It was a convenience sample, with a study period of one year for both groups. Results: The prospective group was 120 patients and the retrospective group 71 patients. Comparing the epileptic diagnosis by etiology groups, in the prospective group (only outpatient patients), 3.3% had epilepsy of an unknown cause, 55% had epilepsy of a genetic cause, 36.7% had epilepsy of a structural/metabolic cause, and 5% had conditions that are not epilepsy itself. Meanwhile in the retrospective group, 52.1% had epilepsy of an unknown cause, 11.3% had epilepsy of a genetic cause, and 36.6% had epilepsy of a structural/metabolic cause (p < 0.001). Conclusions: Compared to other similar studies, the etiological percentages of epilepsy increased. Using the systematic quick guide proposed, the percentage of etiological definitions of epilepsy was increased in pediatric patients.

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