Retinal changes in febrile seizures in children: a retrospective analysis in Tuzla Canton, Bosnia and Herzegovina

Aim To evaluate the possibility of retinal haemorrhages or any other retinal pathology caused by febrile seizures alone in children aged between 2 months and 15 years. Methods Children aged between 2 months and 15 years admitted to the hospital following seizures were examined within 48 hours o...

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Main Authors: Meliha Halilbašić, Amra Nadarević Vodenčarević, Anis Međedović, Amir Halilbašić, Almira Ćosićkić, Ajla Pidro
Format: Article
Language:English
Published: Medical Association of Zenica-Doboj Canton 2021-08-01
Series:Medicinski Glasnik
Subjects:
Online Access:https://ljkzedo.ba/mgpdf/mg35/19_Halilbasic_1366_A.pdf
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author Meliha Halilbašić
Amra Nadarević Vodenčarević
Anis Međedović
Amir Halilbašić
Almira Ćosićkić
Ajla Pidro
author_facet Meliha Halilbašić
Amra Nadarević Vodenčarević
Anis Međedović
Amir Halilbašić
Almira Ćosićkić
Ajla Pidro
author_sort Meliha Halilbašić
collection DOAJ
description Aim To evaluate the possibility of retinal haemorrhages or any other retinal pathology caused by febrile seizures alone in children aged between 2 months and 15 years. Methods Children aged between 2 months and 15 years admitted to the hospital following seizures were examined within 48 hours of admission. The seizures were classified by a paediatric neurologist and a detailed ocular examination, including indirect ophthalmoscopy, was performed by an ophthalmologist. Results In the period between May 2019 and May 2020 a total number of 106 children were examined. There were 66 (62.3%) male and 40 (37.7%) female children. The youngest patient was 2 months old and the oldest patient was 15 years old. None of the children was found to have retinal haemorrhages or any other retinal pathology. Conclusion Retinal haemorrhages or any other acute retinal findings in children with febrile seizures are very rare, but we cannot rule out its occurrence. The finding of retinal haemorrhages in a child admitted with a history of seizure should trigger a detailed search for other causes of those haemorrhages, especially shaken baby syndrome. Due to the lack of any manifestations on the retina after febrile seizure, maybe it is time that the current protocol and guidelines, considering obligatory fundus examination, should be re-examined.
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spelling doaj.art-6979c6023bc543faba91ac61d33a882a2023-08-23T14:50:39ZengMedical Association of Zenica-Doboj CantonMedicinski Glasnik1840-01321840-24452021-08-0118242743110.17392/1366-21Retinal changes in febrile seizures in children: a retrospective analysis in Tuzla Canton, Bosnia and HerzegovinaMeliha Halilbašić0Amra Nadarević Vodenčarević1Anis Međedović2Amir Halilbašić3Almira Ćosićkić4Ajla Pidro5Eye Clinic, University Clinical Center Tuzla, TuzlaEye Clinic, University Clinical Center Tuzla, TuzlaEye Clinic, University Clinical Center Tuzla, TuzlaClinic for Children’s Diseases; University Clinical Center Tuzla, TuzlaClinic for Children’s Diseases; University Clinical Center Tuzla, TuzlaEye Clinic Dr. Ismail, Sarajevo; Bosnia and HerzegovinaAim To evaluate the possibility of retinal haemorrhages or any other retinal pathology caused by febrile seizures alone in children aged between 2 months and 15 years. Methods Children aged between 2 months and 15 years admitted to the hospital following seizures were examined within 48 hours of admission. The seizures were classified by a paediatric neurologist and a detailed ocular examination, including indirect ophthalmoscopy, was performed by an ophthalmologist. Results In the period between May 2019 and May 2020 a total number of 106 children were examined. There were 66 (62.3%) male and 40 (37.7%) female children. The youngest patient was 2 months old and the oldest patient was 15 years old. None of the children was found to have retinal haemorrhages or any other retinal pathology. Conclusion Retinal haemorrhages or any other acute retinal findings in children with febrile seizures are very rare, but we cannot rule out its occurrence. The finding of retinal haemorrhages in a child admitted with a history of seizure should trigger a detailed search for other causes of those haemorrhages, especially shaken baby syndrome. Due to the lack of any manifestations on the retina after febrile seizure, maybe it is time that the current protocol and guidelines, considering obligatory fundus examination, should be re-examined. https://ljkzedo.ba/mgpdf/mg35/19_Halilbasic_1366_A.pdfconvulsionsfundus haemorrhageophthalmoscopyretinal pathology
spellingShingle Meliha Halilbašić
Amra Nadarević Vodenčarević
Anis Međedović
Amir Halilbašić
Almira Ćosićkić
Ajla Pidro
Retinal changes in febrile seizures in children: a retrospective analysis in Tuzla Canton, Bosnia and Herzegovina
Medicinski Glasnik
convulsions
fundus haemorrhage
ophthalmoscopy
retinal pathology
title Retinal changes in febrile seizures in children: a retrospective analysis in Tuzla Canton, Bosnia and Herzegovina
title_full Retinal changes in febrile seizures in children: a retrospective analysis in Tuzla Canton, Bosnia and Herzegovina
title_fullStr Retinal changes in febrile seizures in children: a retrospective analysis in Tuzla Canton, Bosnia and Herzegovina
title_full_unstemmed Retinal changes in febrile seizures in children: a retrospective analysis in Tuzla Canton, Bosnia and Herzegovina
title_short Retinal changes in febrile seizures in children: a retrospective analysis in Tuzla Canton, Bosnia and Herzegovina
title_sort retinal changes in febrile seizures in children a retrospective analysis in tuzla canton bosnia and herzegovina
topic convulsions
fundus haemorrhage
ophthalmoscopy
retinal pathology
url https://ljkzedo.ba/mgpdf/mg35/19_Halilbasic_1366_A.pdf
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