Avaliação Diagnóstica de Convulsões Febris: Desafios e Novas Perspectivas
Autor(a) principal: | |
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Data de Publicação: | 2024 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Brazilian Journal of Implantology and Health Sciences |
Texto Completo: | https://bjihs.emnuvens.com.br/bjihs/article/view/1559 |
Resumo: | Introduction: Febrile seizures (FS) are common events in childhood, characterized by convulsive episodes during fevers in children aged 6 to 60 months. The lack of understanding of the pathogenesis, the variety of clinical presentations, and the implications for neurological development make understanding and accurate diagnosis essential. Methodology: Integrative review in the PubMed database (February 2024) with 139 selected articles. Criteria included publications between 2018 and 2023, free access, and direct approach to the themes. Six remaining articles were carefully read, presenting descriptive results in categories such as definition, epidemiology, the importance of accurate diagnosis, differential diagnoses, and complementary exams. Results: FS occur in children with fever, without electrolyte imbalance, metabolic disorder, intoxication, trauma, history of previous afebrile seizure, or central nervous system infection. The pathogenesis is unknown, associated with viral infections, genetic susceptibility, and vaccines. Classified as simple and complex, with CFCs associated with a higher risk of epilepsy. Epidemiologically, they affect 2-5% of children between 6 months and 5 years, with a peak at 18 months and a higher incidence in boys. Zinc deficiency increases the risk, suggesting supplementation as a preventive strategy. Accurate diagnosis is crucial for proper treatment and avoidance of unnecessary tests. Recurrence is common in the first two years, with risk factors such as younger age at first seizure, short duration of fever, and family history. EEG is vital to differentiate CFCs from other neurological conditions. Conclusion: The review emphasizes the need to understand FS, addressing the definition of febrile seizure, epidemiology, the importance of accurate diagnosis, differential diagnoses, and complementary exams. It highlights the importance of clear definition, varied epidemiology, and the influence of genetic and perinatal factors. Zinc deficiency opens up perspectives for preventive strategies. Accurate diagnosis is crucial for proper treatment and avoidance of unnecessary tests, with EEG playing an essential role. The conclusion highlights the importance of regular monitoring and continuous research to improve preventive and therapeutic strategies, contributing to pediatric health. |
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Avaliação Diagnóstica de Convulsões Febris: Desafios e Novas Perspectivas Convulsão FebrilFebreEpilepsiaDiagnósticoIntroduction: Febrile seizures (FS) are common events in childhood, characterized by convulsive episodes during fevers in children aged 6 to 60 months. The lack of understanding of the pathogenesis, the variety of clinical presentations, and the implications for neurological development make understanding and accurate diagnosis essential. Methodology: Integrative review in the PubMed database (February 2024) with 139 selected articles. Criteria included publications between 2018 and 2023, free access, and direct approach to the themes. Six remaining articles were carefully read, presenting descriptive results in categories such as definition, epidemiology, the importance of accurate diagnosis, differential diagnoses, and complementary exams. Results: FS occur in children with fever, without electrolyte imbalance, metabolic disorder, intoxication, trauma, history of previous afebrile seizure, or central nervous system infection. The pathogenesis is unknown, associated with viral infections, genetic susceptibility, and vaccines. Classified as simple and complex, with CFCs associated with a higher risk of epilepsy. Epidemiologically, they affect 2-5% of children between 6 months and 5 years, with a peak at 18 months and a higher incidence in boys. Zinc deficiency increases the risk, suggesting supplementation as a preventive strategy. Accurate diagnosis is crucial for proper treatment and avoidance of unnecessary tests. Recurrence is common in the first two years, with risk factors such as younger age at first seizure, short duration of fever, and family history. EEG is vital to differentiate CFCs from other neurological conditions. Conclusion: The review emphasizes the need to understand FS, addressing the definition of febrile seizure, epidemiology, the importance of accurate diagnosis, differential diagnoses, and complementary exams. It highlights the importance of clear definition, varied epidemiology, and the influence of genetic and perinatal factors. Zinc deficiency opens up perspectives for preventive strategies. Accurate diagnosis is crucial for proper treatment and avoidance of unnecessary tests, with EEG playing an essential role. The conclusion highlights the importance of regular monitoring and continuous research to improve preventive and therapeutic strategies, contributing to pediatric health. Introdução: Convulsões febris (CF) são eventos comuns na infância, caracterizados por episódios convulsivos durante febres em crianças de 6 a 60 meses. A falta de compreensão da patogênese, a variedade de apresentações clínicas e as implicações no desenvolvimento neurológico tornam essenciais a compreensão e o diagnóstico preciso. Metodologia: Revisão integrativa na base de dados PubMed (Fevereiro 2024) com 139 artigos selecionados. Critérios incluíram publicações entre 2018 e 2023, acesso gratuito e abordagem direta às temáticas. Seis artigos restantes passaram por leitura minuciosa, apresentando resultados descritivos em categorias como definição, epidemiologia, a importância do diagnóstico preciso, diagnósticos diferenciais e exames complementares. Resultados: As CF ocorrem em crianças com febre, sem desequilíbrio eletrolítico, distúrbio metabólico, intoxicação, trauma, história de convulsão afebril prévia ou infecção no sistema nervoso central. A patogênese é desconhecida, associada a infecções virais, suscetibilidade genética e vacinas. Classificadas em simples e complexas, sendo as CFC associadas a maior risco de epilepsia. Epidemiologicamente, afetam 2-5% das crianças entre 6 meses e 5 anos, com pico aos 18 meses e maior incidência em meninos. Deficiência de zinco aumenta o risco, sugerindo a suplementação como estratégia preventiva. O diagnóstico preciso é crucial para tratamento adequado e evitação de exames desnecessários. A recorrência é comum nos primeiros dois anos, com fatores de risco como idade mais jovem na primeira crise, febre de curta duração e história familiar. O EEG é vital para diferenciar CFC de outras condições neurológicas. Conclusão: A revisão enfatiza a necessidade de compreender as CF, abordando definição de convulsão febril, epidemiologia, a importância do diagnóstico preciso, diagnósticos diferenciais e exames complementares. Destaca a importância da definição clara, epidemiologia variada e a influência de fatores genéticos e perinatais. A deficiência de zinco abre perspectivas para estratégias preventivas. O diagnóstico preciso é crucial para tratamento adequado e evitação de exames desnecessários, com o EEG desempenhando papel essencial. A conclusão ressalta a importância do acompanhamento regular e pesquisa contínua para aprimorar estratégias preventivas e terapêuticas, contribuindo para a saúde pediátrica.Specialized Dentistry Group2024-02-28info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://bjihs.emnuvens.com.br/bjihs/article/view/155910.36557/2674-8169.2024v6n2p2267-2278Brazilian Journal of Implantology and Health Sciences ; Vol. 6 No. 2 (2024): BJIHS QUALIS B3; 2267-2278Brazilian Journal of Implantology and Health Sciences ; Vol. 6 Núm. 2 (2024): BJIHS QUALIS B3; 2267-2278Brazilian Journal of Implantology and Health Sciences ; v. 6 n. 2 (2024): BJIHS QUALIS B3; 2267-22782674-8169reponame:Brazilian Journal of Implantology and Health Sciencesinstname:Grupo de Odontologia Especializada (GOE)instacron:GOEporhttps://bjihs.emnuvens.com.br/bjihs/article/view/1559/1744Copyright (c) 2024 Rafael Rocha Gonçalves, Ana Carolina Oliveira, Eduardo Martins Antunes, Fabrício Augusto Rodrigues de Castro, Jessica de Oliveira Coimbra, Layla Cecilia Antony Lavor, Lucas Oliveira Freire do Nascimento, Mariana de Mendonça Lima Ypiranga Monteiro, Natalia da Silva Ataide , Naysa Gabrielly Alves de Andradehttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccess Rocha Gonçalves, RafaelOliveira, Ana CarolinaMartins Antunes, Eduardo Rodrigues de Castro, Fabrício Augustode Oliveira Coimbra, JessicaAntony Lavor, Layla CeciliaOliveira Freire do Nascimento, Lucasde Mendonça Lima Ypiranga Monteiro, Marianada Silva Ataide , NataliaAlves de Andrade, Naysa Gabrielly2024-02-28T12:57:22Zoai:ojs.bjihs.emnuvens.com.br:article/1559Revistahttps://bjihs.emnuvens.com.br/bjihsONGhttps://bjihs.emnuvens.com.br/bjihs/oaijournal.bjihs@periodicosbrasil.com.br2674-81692674-8169opendoar:2024-02-28T12:57:22Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE)false |
dc.title.none.fl_str_mv |
Avaliação Diagnóstica de Convulsões Febris: Desafios e Novas Perspectivas |
title |
Avaliação Diagnóstica de Convulsões Febris: Desafios e Novas Perspectivas |
spellingShingle |
Avaliação Diagnóstica de Convulsões Febris: Desafios e Novas Perspectivas Rocha Gonçalves, Rafael Convulsão Febril Febre Epilepsia Diagnóstico |
title_short |
Avaliação Diagnóstica de Convulsões Febris: Desafios e Novas Perspectivas |
title_full |
Avaliação Diagnóstica de Convulsões Febris: Desafios e Novas Perspectivas |
title_fullStr |
Avaliação Diagnóstica de Convulsões Febris: Desafios e Novas Perspectivas |
title_full_unstemmed |
Avaliação Diagnóstica de Convulsões Febris: Desafios e Novas Perspectivas |
title_sort |
Avaliação Diagnóstica de Convulsões Febris: Desafios e Novas Perspectivas |
author |
Rocha Gonçalves, Rafael |
author_facet |
Rocha Gonçalves, Rafael Oliveira, Ana Carolina Martins Antunes, Eduardo Rodrigues de Castro, Fabrício Augusto de Oliveira Coimbra, Jessica Antony Lavor, Layla Cecilia Oliveira Freire do Nascimento, Lucas de Mendonça Lima Ypiranga Monteiro, Mariana da Silva Ataide , Natalia Alves de Andrade, Naysa Gabrielly |
author_role |
author |
author2 |
Oliveira, Ana Carolina Martins Antunes, Eduardo Rodrigues de Castro, Fabrício Augusto de Oliveira Coimbra, Jessica Antony Lavor, Layla Cecilia Oliveira Freire do Nascimento, Lucas de Mendonça Lima Ypiranga Monteiro, Mariana da Silva Ataide , Natalia Alves de Andrade, Naysa Gabrielly |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Rocha Gonçalves, Rafael Oliveira, Ana Carolina Martins Antunes, Eduardo Rodrigues de Castro, Fabrício Augusto de Oliveira Coimbra, Jessica Antony Lavor, Layla Cecilia Oliveira Freire do Nascimento, Lucas de Mendonça Lima Ypiranga Monteiro, Mariana da Silva Ataide , Natalia Alves de Andrade, Naysa Gabrielly |
dc.subject.por.fl_str_mv |
Convulsão Febril Febre Epilepsia Diagnóstico |
topic |
Convulsão Febril Febre Epilepsia Diagnóstico |
description |
Introduction: Febrile seizures (FS) are common events in childhood, characterized by convulsive episodes during fevers in children aged 6 to 60 months. The lack of understanding of the pathogenesis, the variety of clinical presentations, and the implications for neurological development make understanding and accurate diagnosis essential. Methodology: Integrative review in the PubMed database (February 2024) with 139 selected articles. Criteria included publications between 2018 and 2023, free access, and direct approach to the themes. Six remaining articles were carefully read, presenting descriptive results in categories such as definition, epidemiology, the importance of accurate diagnosis, differential diagnoses, and complementary exams. Results: FS occur in children with fever, without electrolyte imbalance, metabolic disorder, intoxication, trauma, history of previous afebrile seizure, or central nervous system infection. The pathogenesis is unknown, associated with viral infections, genetic susceptibility, and vaccines. Classified as simple and complex, with CFCs associated with a higher risk of epilepsy. Epidemiologically, they affect 2-5% of children between 6 months and 5 years, with a peak at 18 months and a higher incidence in boys. Zinc deficiency increases the risk, suggesting supplementation as a preventive strategy. Accurate diagnosis is crucial for proper treatment and avoidance of unnecessary tests. Recurrence is common in the first two years, with risk factors such as younger age at first seizure, short duration of fever, and family history. EEG is vital to differentiate CFCs from other neurological conditions. Conclusion: The review emphasizes the need to understand FS, addressing the definition of febrile seizure, epidemiology, the importance of accurate diagnosis, differential diagnoses, and complementary exams. It highlights the importance of clear definition, varied epidemiology, and the influence of genetic and perinatal factors. Zinc deficiency opens up perspectives for preventive strategies. Accurate diagnosis is crucial for proper treatment and avoidance of unnecessary tests, with EEG playing an essential role. The conclusion highlights the importance of regular monitoring and continuous research to improve preventive and therapeutic strategies, contributing to pediatric health. |
publishDate |
2024 |
dc.date.none.fl_str_mv |
2024-02-28 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://bjihs.emnuvens.com.br/bjihs/article/view/1559 10.36557/2674-8169.2024v6n2p2267-2278 |
url |
https://bjihs.emnuvens.com.br/bjihs/article/view/1559 |
identifier_str_mv |
10.36557/2674-8169.2024v6n2p2267-2278 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://bjihs.emnuvens.com.br/bjihs/article/view/1559/1744 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
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https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Specialized Dentistry Group |
publisher.none.fl_str_mv |
Specialized Dentistry Group |
dc.source.none.fl_str_mv |
Brazilian Journal of Implantology and Health Sciences ; Vol. 6 No. 2 (2024): BJIHS QUALIS B3; 2267-2278 Brazilian Journal of Implantology and Health Sciences ; Vol. 6 Núm. 2 (2024): BJIHS QUALIS B3; 2267-2278 Brazilian Journal of Implantology and Health Sciences ; v. 6 n. 2 (2024): BJIHS QUALIS B3; 2267-2278 2674-8169 reponame:Brazilian Journal of Implantology and Health Sciences instname:Grupo de Odontologia Especializada (GOE) instacron:GOE |
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Grupo de Odontologia Especializada (GOE) |
instacron_str |
GOE |
institution |
GOE |
reponame_str |
Brazilian Journal of Implantology and Health Sciences |
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Brazilian Journal of Implantology and Health Sciences |
repository.name.fl_str_mv |
Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE) |
repository.mail.fl_str_mv |
journal.bjihs@periodicosbrasil.com.br |
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