Özet:

Objective: In this study, we aimed to investigate whether there is a connection between the pathological EEG result and other criteria by examining the data and electroencephalography (EEG) features of the patients who admitted to our hospital with the first complicated febrile seizure (FN). Material and Methods: The data of 256 patients who were admitted to Hatay Mustafa Kemal University Faculty of Medicine, Child Neurology Clinic with febrile seizures between 01/10/2019 - 01/05/2020 were collected. Two groups with and without EEG pathology were compared in terms of demographic, clinical, and cranial imaging features. Results: 25 patients were included in the study. 60% of 25 patients with an average age of 26. 4 months were male, 15 (60%) patients had seizures repeated on the same day, 16 (64%) patients had prolonged seizures (> 15 minutes), and 2 patients' seizures were observed focally. While 92% of the patients were followed by generalized tonic-clonic seizures, 2 (8%) patients had focal seizures. When the EEG traces were examined, 6 (24%) patients had a defect in their trace. Focal discharges were observed in all patients with disorder in EEG. The most common seizure type (5/6) in the group with EEG disorder was generalized seizures. Considering the complication criteria, we found that especially prolonged seizures were observed more frequently (5/6) (83.3%) in patients with EEG disorder. Conclusion: Our study showed that focal interictal epileptiform discharges were the primary feature of EEG in patients with the first complicated FN complaint, and the most common complication was prolonged seizures. In the group with EEG disorder, the most common seizure type was generalized seizure, and the most common complication was prolonged seizures. He was not able to find any connection between EEG disorder and family history and seizure characteristics. For this reason, it is recommended that all patients who come with the first complicated FN should receive EEG.

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