889 Etiologies of the Status Epilepticus in Children Hospitalised in the Picu of the University Hospital Center of Oran (Algeria)

Abstract

Background and Aims Status Epilepticus is one of the most frequent neurological emergencies in Pediatrics, that can involve the vital and functional prognosis in the short and long term. The Aim of this study is to determine epidemiological, causative, diagnostic aspects and to evaluate the therapeutic means. Methods In this prospective study we analyse 214 children with status epilepticus between January 2008 and December 2010. Results The mean age is 04 years (min: 28 days - max: 15 years) with a sex ratio equal to 1.3. 60% of cases was febrile. 81% of the seizures are generalized. The differents etiologies are: Epilepsy: 59 (27.5%); Occasional seizures: 69 (32.24%); Infections of central nervous system (CNS): 53 (24.7%) (26 meningitidis and 27 meningoencephalitis); Febrile seizures: 24 (11%); Indeterminate cause: 09 (04%). It was noted a long delay between the onset of clinical manifestations and world-renowned workplace support. The drugs used are represented by injectable diazepam and phenobarbital. In terms of support, 46% need artificial ventilation. In this series the mortality is 22%. Conclusion The vital and functional prognosis could be improved by better prevention and effective treatment of infectious diseases, a reduction of the period of support and better ways of resuscitation.