轻度胃肠炎伴婴幼儿良性惊厥的临床分析

目的 了解轻度胃肠炎伴婴幼儿良性惊厥(BICE)的临床特点及预后.方法 对16例轻度胃肠炎伴惊厥患儿进行临床资料分析及出院后随访4-42个月.结果 16例患儿发病年龄最小4个月,最大34个月.3天内发生惊厥12例(75%),持续时间<5分钟,全身发作13例,一次病程中惊厥平均发作1.56次.发作间期脑电图、脑影像学、血生化、脑脊液检查均正常.结论 BICE为一良性过程,患儿预后良好,无需长期使用抗癫痫药物.

Analysis on benign infantile convulsions associated with mild gastroenteritis

Objective To investigate the clinical features and prognosis of benign infantile convulsions associated with mild gastroenteritis(BICE).Methods The 16 cases with gastroenteritis accompanied with convulsions were clinically observed and followed up for 4-42 months.Results The ages of onset in 16 cases ranged from 4 to 34 months old,12 cases(75%) seizures developed with in the first 3 days and persisted with in the five minutes.13cases presented with generalized seizures.Seizure averaged 1.56 attacks in every time.The electroencephalogram,brain imaging,blood biochemical profile and cerebrospinal fluid testing did not show abnormality in all cases.Conclusion The children with BICE can be a good prognosis in the future,and anti-epileptic therapy may not be necessary after seizure cessation.