Commentary on 'benign afebrile convulsions in the course of mild acute gastroenteritis'

摘要

We have read with interest the article of Fasheh Youssef et al1 regarding their retrospective study on convulsions with mild gastroenteritis (CwG) performed over an 8-year period in Spain. They identified 28 children with otherwise normal neurological conditions, aged between 6 and 48 months, who experienced afebrile seizures within the first 5 days of a mild gastroenteritis, frequently related to Rotavirus infection and without dehydration, electrolyte imbalance, or hypoglyce-mia. Most patients had brief generalized seizures, which recurred over a 24-hour period. Whenever performed, electroencephalogram (EEG), neuroimaging, and lumbar puncture revealed normal results. Despite 1 case of relapse, the developmental and seizure outcome was favorable. These findings were consistent with those published by Japanese neuropediatricians2; therefore, the authors concluded that this clinical entity is not confined in the Far East, as initially thought.