Page 357 - Abstract Book KONIKA 18

Neurology

P-NEU-041
Risk Factors of Recurrent Febrile Seizure in Children
in Prof dr. R.D. Kandou Hospital Manado

Yosefa Anggi Miranti, Nurhayati Masloman, Praevilia M. Salendu
Departement of Child Health, Faculty Medicine, Universitas Sam Ratulangi/Prof Dr. R.D. Kandou Hospital,
Manado, North Sumatera, Indonesia

Abstract
Background Febrile seizures are the most common seizure disorder in childhood. Approximately one-third
of cases with febrile seizure will have at least one episode of recurrence. The aim of this study is to determine
the factors associated with the incident of recurrent febrile seizure in children at Prof. dr. R.D Kandou
Hospital Manado. Methods This is a cross-sectional study. The retrospective approach retrieves data from
medical records of patients with febrile seizures who are hospitalized in Prof dr. R.D. Kandou Hospital from
January 2019 until December 2020. We analyze variables age at the first onset, body temperature during the
fever episode, family history of seizures, diagnosis at the first onset, and recurrent of febrile seizure Results
Among 67 samples involved in this study, 52.2% (35 samples) had recurrent febrile seizure. Results of the
study found that there were differences among age at first onset (p 0.000, PR 3.02), family history with
febrile seizures (P 0.006; PR 1.78), diagnosis at first febrile seizures (P 0.017; PR 1.88), and body temperature
(P 0.317; PR 1.12) with recurrent febrile seizures. Logistic regression analysis showed that age <12 months at
first febrile was statistically significant associated with the incidence of recurrent febrile seizures in children.
Conclusions The risk of recurrent febrile seizure increased with age less than 12 month, history of family,
and diagnosed as complex febrile seizure as first febrile seizure.
Keywords: recurrent febrile seizure; risk factors

P-NEU-042
Profiles of Children with Epilepsy at Pediatric Neurology Outpatient Clinic
in Prof. Dr. R.D. Kandou General Hospital
Regina T. Maindoka, Nurhayati Masloman, Praevilia M. Salendu
Department of Child Health, Faculty of Medicine, Universitas Sam Ratulangi/Prof. DR. R. D. Kandou Hospital,
Manado, North Sumatera, Indonesia
Abstract
Background Epilepsy is one of the most common neurological disorders in children. Epileptic seizures that
are not well controlled can hinder and impair children ability to learn, and the secondary influences, such as
stigma, can cause negative impact on children social and psychological functioning. Objective To determine
the profile of epileptic children. Methods This is a cross sectional study that reviewed the patient medical
record. The collected data included age, gender, nutritional status, type of seizure, history of febrile seizure,
family history of epilepsy, growth and developmental status, electroencephalogram and brain imaging. We
included all newly diagnosed pediatric epilepsy patients aged 1-18 years. Results From January 2019 until
December 2020, there was 84 children diagnosed with epilepsy. Majority of patients were in the age group
of 1-5 years (34.9%). Based on gender, most patients were female (51.8%). Eighty-five percent (85%) of
patients did not have family history of seizures, and 48.2% patients didn’t have any previous history of
febrile seizure. Ninety two percent (92%) of children had generalized seizures and more than half of patients
had a normal development. Regarding the diagnostic investigation, from fifteen patients who underwent
encephalography (EEG) nine of them (60%) had abnormal features. Three from five patients who were
examined for brain CT, had abnormal feature on imaging. Conclusion Generalized epilepsy was the most
common type of epilepsy in study and majority of participants were aged <6 years.
Keywords: epilepsy; clinical profile; children

KONIKA XVIII Abstract Book 309