Electrocardiographic Changes Among Epileptic and Non Epileptic Seizures in Children at Sohag University Hospital

Study Overview
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Brief Summary
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Epilepsy is a chronic disease triggered by increased impulsiveness of nerve cells in the brain and may require a lifelong treatment. Epilepsy is confirmed by two or more unprovoked seizures in more than 24 hours. Febrile Convulsion is another type of seizure occurring due to fever over 38 °C without a history of convulsion, CNS infection, electrolyte imbalance, metabolic disorder, intoxication, and trauma. Unlike epileptic seizures, there are non-epileptic seizures such as Breath Holding Spells that affect children's behaviors and often look like epileptic seizures. QT parameters elongation show the danger of dysrhythmia and unexpected sicknesses such as cardiomyopathy, mitral valve prolapse, ischemic coronary illness, and kidney disorders. Many investigators have reported changes in QT parameters in various diseases such as diabetes mellitus, celiac disease, thalassemia , epilepsy ,Breath holding spells and febrile seizure.

Official Title
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Electrocardiographic Changes Among Epileptic and Non Epileptic Seizures in Children at Sohag University Hospital

Conditions
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Seizures

Intervention / Treatment
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* Device: ECG


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: children with drug resistant epilepsy. febrile seizures. age of 1 year to 12 years. Exclusion Criteria: age below 1 year and above 12 years children with convulsion secondary cns infection , encephalitis, encephalopathy , toxic and metabolic problem

Ages Eligible for Study
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Minimum Age: 1 Year
Maximum Age: 12 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Drug Resistant Epilepsy<br>Seizures Not Respond to two lines of Anti epileptic Medications | Device: ECG<br>* ECG with special comment on QT interval. QT interval was measured as the distance from the beginning of the Q wave to the end of the T wave at least in eight leads from the standard ECG.<br>|
| Drug Responsive Epilepsy<br>Seizures Respond to one or two lines of Anti epileptic Medications | Device: ECG<br>* ECG with special comment on QT interval. QT interval was measured as the distance from the beginning of the Q wave to the end of the T wave at least in eight leads from the standard ECG.<br>|
| Febrile Seizures<br>type of seizure occurring due to fever over 38 °C without a history of convulsion | Device: ECG<br>* ECG with special comment on QT interval. QT interval was measured as the distance from the beginning of the Q wave to the end of the T wave at least in eight leads from the standard ECG.<br>|
| Breath Holding Spells<br>children's behaviors look like epileptic seizures due to crying up to a minute followed by losing consciousness | Device: ECG<br>* ECG with special comment on QT interval. QT interval was measured as the distance from the beginning of the Q wave to the end of the T wave at least in eight leads from the standard ECG.<br>|
| Control<br>Healthy Children free from any convulsion | Device: ECG<br>* ECG with special comment on QT interval. QT interval was measured as the distance from the beginning of the Q wave to the end of the T wave at least in eight leads from the standard ECG.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| QT interval | Distance from the beginning of the Q wave to the end of the T wave at least in eight leads from the standard ECG | 12 months |