Afebrile convulsions with mild acute gastroenteritis

Authors:

García Luzardo MR^a, Rodríguez Calcines N^b, Pavlovic Nesic S^c, Serrano Perdomo S^d

^aServicio de Urgencias Pediátricas. Hospital Universitario Materno-Infantil de Canarias. Las Palmas de Gran Canarias. España.
^bServicio de Urgencias Pediátricas. Hospital Universitario Materno-Infantil de Canarias. Las Palmas de Gran Canarias. España.
^cServicio de Urgencias Pediátricas. Hospital Universitario Materno-Infantil de Canarias. Las Palmas de Gran Canaria. España.
^dServicio de Urgencias Pediátricas. Hospital Universitario Materno-Infantil de Canarias. Las Palmas de Gran Canaria. España.

Correspondence: MR García. Email: saragarlu@telefonica.net

Reference of this article.:

García Luzardo MR, Rodríguez Calcines N, Pavlovic Nesic S, Serrano Perdomo S. Crisis convulsivas afebriles en el contexto de una gastroenteritis aguda leve. Rev Pediatr Aten Primaria. 2011;13:403-9.

Published in Internet: 20/09/2011

Abstract:

Febrile seizures are the most frequent in the infancy; they have an excellent prognosis and usually don’t need tests or long-term treatment. On the other hand, afebrile convulsions usually need additional explorations and probably anti-epileptic drugs.

The existence of convulsions during a mild gastroenteritis wit neither dehydration nor fever is a well known association named para-infectious crisis but probably it is infra-diagnosed. It is important to bear it in mind in order to avoid too many tests and/or antiepileptic long treatment. We describe two cases diagnosed after presenting seizures during a mild gastroenteritis.

Keywords: Seizure. Gastroenteritis. Rotavirus.