The epidemiology of convulsive status epilepticus in children: a critical review.
There is ongoing debate regarding the most appropriate definition of status epilepticus. This depends upon the research question being asked. Based on the most widely used "30 min definition," the incidence of childhood convulsive status epilepticus (CSE) in developed countries is approximately 20/100,000/year, but will vary depending, among others, on socioeconomic and ethnic characteristics of the population. Age is a main determinant of the epidemiology of CSE and, even within the pediatric population there are substantial differences between older and younger children in terms of incidence, etiology, and frequency of prior neurological abnormalities or prior seizures. Overall, incidence is highest during the first year of life, febrile CSE is the single most common cause, around 40% of children will have previous neurological abnormalities and less than 15% will have a prior history of epilepsy. Outcome is mainly a function of etiology. However, the causative role of CSE itself on mesial temporal sclerosis and subsequent epilepsy or the influence of age, duration, or treatment on outcome of CSE remains largely unknown. Future studies should aim at clarifying these issues and identifying specific ethnic, genetic, or socioeconomic factors associated with CSE to pinpoint potential targets for its primary and secondary prevention.
Raspall-Chaure
Miquel
M
Neurosciences Unit, UCL - Institute of Child Health, LondonEpilepsy Unit, Great Ormond Street Hospital for Children NHS Trust, LondonThe National Centre for Young People with Epilepsy, LingfieldCentre for Paediatric Epidemiology and Biostatistics, UCL - Institute of Child Health, LondonRadiology and Physics Unit, UCL - Institute of Child Health, London, United Kingdom.
Chin
Richard F M
RFM
Neurosciences Unit, UCL - Institute of Child Health, LondonEpilepsy Unit, Great Ormond Street Hospital for Children NHS Trust, LondonThe National Centre for Young People with Epilepsy, LingfieldCentre for Paediatric Epidemiology and Biostatistics, UCL - Institute of Child Health, LondonRadiology and Physics Unit, UCL - Institute of Child Health, London, United Kingdom.
Neville
Brian G
BG
Neurosciences Unit, UCL - Institute of Child Health, LondonEpilepsy Unit, Great Ormond Street Hospital for Children NHS Trust, LondonThe National Centre for Young People with Epilepsy, LingfieldCentre for Paediatric Epidemiology and Biostatistics, UCL - Institute of Child Health, LondonRadiology and Physics Unit, UCL - Institute of Child Health, London, United Kingdom.
Bedford
Helen
H
Neurosciences Unit, UCL - Institute of Child Health, LondonEpilepsy Unit, Great Ormond Street Hospital for Children NHS Trust, LondonThe National Centre for Young People with Epilepsy, LingfieldCentre for Paediatric Epidemiology and Biostatistics, UCL - Institute of Child Health, LondonRadiology and Physics Unit, UCL - Institute of Child Health, London, United Kingdom.
Scott
Rod C
RC
Neurosciences Unit, UCL - Institute of Child Health, LondonEpilepsy Unit, Great Ormond Street Hospital for Children NHS Trust, LondonThe National Centre for Young People with Epilepsy, LingfieldCentre for Paediatric Epidemiology and Biostatistics, UCL - Institute of Child Health, LondonRadiology and Physics Unit, UCL - Institute of Child Health, London, United Kingdom.
D000367:Age Factors; D002648:Child; D019049:Developed Countries / Q000706:statistics & numerical data; D005334:Fever / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D017063:Outcome Assessment, Health Care; D012008:Recurrence; D003294:Seizures, Febrile / Q000453:epidemiology / Q000517:prevention & control; D012959:Socioeconomic Factors; D013226:Status Epilepticus / Q000453:epidemiology* / Q000517:prevention & control; D009626:Terminology as Topic