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Vol. 63. Issue 6.
Pages 558-560 (1 December 2005)
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Vol. 63. Issue 6.
Pages 558-560 (1 December 2005)
Notas clínicas
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Convulsiones benignas durante gastroenteritis leve: a propósito de dos casos
Benign seizures associated with mild gastroenteritis: apropos of two cases
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C. Gómez-Lado, M.ª García-Reboredo, L. Monasterio-Corral, M. Bravo-Mata, J. Eirís-Puñal, M. Castro-Gago
Corresponding author
pdcastro@usc.es

Correspondencia: Dr. M. Castro-Gago. Servicio de Neuropediatría. Hospital Clínico-Universitario. Travesía Choupana, s/n. 15706 Santiago de Compostela. España.
Departamento de Pediatría. Servicio de Neuropediatría y de Preescolares. Hospital Clínico-Universitario de Santiago. Universidad de Santiago de Compostela. España
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Introducción

La presentación de convulsiones benignas durante una gastroenteritis leve sin deshidratación ni fiebre es una asociación descrita con relativa frecuencia en Asia. Sin embargo, son escasas las referencias al tema fuera de dicho continente. Se trata de un proceso benigno que no implica un mayor riesgo de epilepsia ni de deterioro neuropsíquico.

Casos clínicos

Se describe el caso de dos niñas ingresadas en nuestro departamento en el último año por presentar convulsiones durante una gastroenteritis leve. En ambos casos las crisis fueron autolimitadas y la evolución benigna.

Conclusiones

Esta entidad no se presenta exclusivamente en Asia y es probable que sea más frecuente en nuestro medio de lo que se ha comunicado. Es importante tenerla presente ante un paciente con gastroenteritis y crisis convulsivas con el fin de evitar un tratamiento antiepiléptico agresivo y/o prolongado.

Palabras clave:
Convulsiones
Gastroenteritis
Rotavirus
Introduction

The occurrence of benign seizures in association with viral gastroenteritis without dehydration or fever is well recognized in Asia, but it is virtually unknown in other parts of the world. This is a benign process that does not lead to a greater risk of epilepsy or developmental deterioration.

Case reports

We describe two infants who were admitted to our department over a 1-year period with acute convulsions and mild gastroenteritis. The seizures were brief and did not recur after the first day. In both cases the outcome was excellent.

Conclusions

This entity does not appear exclusively in Asia and its frequency may have been underestimated in Spain. This diagnosis should be borne in mind in patients with gastroenteritis and seizures to avoid intensive and/or prolonged antiepileptic treatment.

Key words:
Seizures
Gastroenteritis
Rotavirus
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Bibliografía
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Copyright © 2005. Asociación Española de Pediatría
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