Objective: Afebrile seizures may occur in childhood with different etiologies and may recur with different etiologies. In the literature, the relationship between hypoxia and the disease has been emphasized frequently. Our aim was to determine whether airway stenosis and adenoid tissue volume are effective in the course of afebrile seizures and if so, how this relationship is correlated.
Material and Method: Adenoid tissue volume and nasopharyngeal distance were measured from brain MRI images taken for routine cranial imaging of children aged 2-8 years who presented to the Pediatric Emergency Unit of xxx University Hospital with afebrile seizures. Demographic characteristics, anticonvulsant drug use, symptoms of adenoid hypertrophy, and number of convulsive episodes were recorded. Statistical analysis was performed in terms of the variables determined.
Results: In the study, 156 children who were admitted to the Pediatric Emergency Unit of xxx hospital with afebrile seizures between the specified dates, within the specified age range and who met the inclusion criteria were examined. The mean age of 92 boys and 64 girls was 3.94±0.139 years. No statistically significant difference was found between the sexes regarding age, the number of afebrile seizure episodes, and nasopharyngeal distance (p>0.05). While 145 (92.9%) of the patients were using only one anticonvulsive drug, 11 (7.1%) were using two anticonvulsive drugs. Adenoid tissue volume dimensions were statistically significantly higher in boys (2.17±0.09) than in girls (1.87±0.12) (p=0.023). There was a statistically significant positive correlation between adenoid volume and the number of afebrile seizure episodes (r=0.586, p=0.0001; n=156).
Conclusion: Increased volumetric size of adenoid tissue may be considered one of the effective factors in recurrent episodes of childhood afebrile seizure.
Key words: adenoid hypertrophia, afebril seizure, childhood
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