Table 2.
– Patients presenting with seizures: clinical and laboratory data.
Age | Temp | G | Seizure | PMH / FH- Neurological | Laboratory | Imaging / EEG | |
---|---|---|---|---|---|---|---|
1 | 0.4 | 39 | F | SE, bilateral tonic clonic, RT > LT | NA 133 K 4.4 WBC 6.3 CRP 0.38 LP - Normal |
EEG - normal | |
2 | 2.2 | 39 | M | GTC SZ | FH - father + uncle febrile SZ |
NA 132 K 3.9 WBC 22.8 CRP 5.8 |
|
3 | 5.1 | 36 | F | GTC SE | uncontrolled epilepsy (1/month) on LEV (60 mg/kg/day) Congenital CMV |
NA 135 K 3 WBC 5.3 CRP – not tested |
EEG - epileptic encephalopathy |
4 | 7 | 37 | M | 2 GTC SZ | NA 136 K 3.6 WBC 9.1 CRP – not tested |
||
5 | 9 | 39 | M | GTC | FH - febrile SZ | NA 131 K 3.7 WBC 8.3 CRP 3.65 LP - 100 RBC, 0 WBC |
CT - Normal |
6 | 11.5 | 37 | M | GTC | Single unprovoked GTC 3 years prior to presentation | NA 135 K 4.1 WBC 15.5 CRP 0.11 |
EEG - Normal |
7 | 13.1 | 39 | M | GTC SE | epilepsy, rare seizures (2/year) ASD and ID | NA 136 K 3.2 WBC 9.3 CRP 2.2 |
|
8 | 14.8 | 36 | M | Focal tonic | uncontrolled epilepsy on LEV (30 mg/kg/day) + LMG (6mg/kg/day) | NA 137 K 3.5 WBC 10.1 CRP – not tested |
|
9 | 15 | 38 | F | GTC | ID, cataract, prematurity 32weeks | NA 134 K 3.9 WBC 9.5 CRP 0.05 |
EEG – bifrontal sharp waves |
10 | 17.2 | 38 | M | GTC SE | CP with VPS, prematurity 28weeks uncontrolled epilepsy (few mild SZ /week, no GTC 2 years) on LEV (50/mg/kg/day) | NA 140 K 3.7 WBC 12.8 CRP 0.07 |
CT – shunt, PVL, no change from past imaging |
11 | 17 | 38.5 | F | GTC SE | IVH with VPS Controlled epilepsy On VPA (30 mg/kg/day) |
NA 132 K 3.2 WBC 10 CRP 0.05 VPA - 72 |
CT – shunt, no change from past imaging |
T – temperature, G – gender, PMH – past medical history, FH – family history, SE – status epilepticus, GTC – generalized tonic clonic, RT – right, LT – left, ASD – autism spectrum disorder, ID – intellectual disability, CMV – cytomegalovirus, LEV – levetiracetam, LMG – lamotrigine, VPA – valproic acid, LP – lumbar puncture, VPS – ventriculoperitoneal shunt, IVH – intraventricular haemorrhage, CRP - C-reactive protein, WBC – white blood cells, EEG – electroencephalography, CT – computerized tomography, PVL – periventricular leukomalacia. NA and K in mmol/L, WBC - x10E9/L, CRP - mg/L, VPA - mcg/mL