Clinical research of benign infantile convulsions with mild gastroenteritis

Abstract

Cases of benign infantile convulsions with mild gastroenteritis (BICE) treated in our hospital from 2008 to 2012 were analyzed retrospectively. Among the 65 cases of convulsions with acute diarrhea, there were 18 cases of BICE, 15 cases of febrile seizures, 13 cases of epilepsy, 6 cases of viral encephalitis, 6 cases of hyponatremia encephalopathy, 3 cases of hypernatremia encephalopathy, 2 cases of toxic encephalopathy, and 2 cases of hypocalcemia convulsion. The convulsion occurred mostly during the first 2 d of the illness and was in a generalized tonic or tonic-clonic form. Positive rotavirus antigens in the BICE patients were detected in 83.33％ (15/18). Phenobarbital was administered after the first convulsion (5-10 mg/kg), and diazepam was given intravenously in case of recurrence (0.10-0.30 mg/kg). BICE occurs frequently in infantile and controlling relapse is the main purpose. The prognosis is good.

doi: 10.3969/j.issn.1672-6731.2014.03.019