TUMBUH KEMBANG PENDERITA KEJANG DEMAM

Abstract

Background: : Febrile convulsion usually occurs in children under 5 years of age. Every febrile convulsion is a potential risk for epilepsy. Developmental disturbance in children with febrile convulsion (epilepsy) has a great variation, and febrile convulsion is still questioned to influence growth and development. Study Design : Study design is a Cohort. Setting : Pediatric Neurologic Department, Dr.Kaiiadi Hospital Semarang / Laboratory of Child Health, Medical School of Diponegoro University Semarang and in sorrounding area.. Subjects : Children with febrile convulsion and fever. Intervention : Subjects were divided into two categories : febrile convulsion and fever, all groups were followed until 6 month and growth and development was assessed after this period. Analysis : Variables with numeric scale were tested with t tese, variables with nominal scale were tested with chi square, fishers exact test and regression multiple. Results : After 6 month, 132 children fulfilled inclusion criteria and were divided into 62 children with febrile convulsion and 62 children with fever. There was no significant difference in growth and development, between the two groups after 3 month of follow up (p>0,05). There was no significant difference in growth after 6 month of follow up, but in developmental sectors the group with febrile convulsion showed impairment.which may be aggregated from other factors, overall development showed no impairment. Compared with fever groups its shoWed significant difference (p<0,05). Incidence of epilepsy was 4,3 % in children with febrile convulsion. Conclusion : Age of first convulsion is very predictive for recurrent febrile convulsion and developmental impairment. Key Words : Growth and development, Febrile convulsion, Epilepsy.