Notas clínicas
Convulsiones benignas durante gastroenteritis leve: a propósito de dos casos
Benign seizures associated with mild gastroenteritis: apropos of two cases
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.
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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"apellidos" => "Monasterio-Corral" ] 3 => array:2 [ "nombre" => "M." "apellidos" => "Bravo-Mata" ] 4 => array:2 [ "nombre" => "J." "apellidos" => "Eirís-Puñal" ] 5 => array:4 [ "nombre" => "M." "apellidos" => "Castro-Gago" "email" => array:1 [ 0 => "pdcastro@usc.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Departamento de Pediatría. Servicio de Neuropediatría y de Preescolares. Hospital Clínico-Universitario de Santiago. Universidad de Santiago de Compostela. España" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Correspondencia: Dr. M. Castro-Gago. Servicio de Neuropediatría. Hospital Clínico-Universitario. Travesía Choupana, s/n. 15706 Santiago de Compostela. España." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Benign seizures associated with mild gastroenteritis: apropos of two cases" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2005-04-30" "fechaAceptado" => "2005-06-30" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec186306" "palabras" => array:3 [ 0 => "Convulsiones" 1 => "Gastroenteritis" 2 => "Rotavirus" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec186305" "palabras" => array:3 [ 0 => "Seizures" 1 => "Gastroenteritis" 2 => "Rotavirus" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p class="elsevierStyleSimplePara elsevierViewall">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.</p> <span class="elsevierStyleSectionTitle">Casos clínicos</span><p class="elsevierStyleSimplePara elsevierViewall">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.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">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.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p class="elsevierStyleSimplePara elsevierViewall">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.</p> <span class="elsevierStyleSectionTitle">Case reports</span><p class="elsevierStyleSimplePara elsevierViewall">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.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">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.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:13 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Benign convulsions with mild gastroenteritis. A worldwide clinical entity" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "N. Uemura" 1 => "A. 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| 2021 February | 56 | 23 | 79 |
| 2021 January | 44 | 19 | 63 |
| 2020 December | 50 | 19 | 69 |
| 2020 November | 33 | 18 | 51 |
| 2020 October | 34 | 12 | 46 |
| 2020 September | 30 | 10 | 40 |
| 2020 August | 50 | 20 | 70 |
| 2020 July | 47 | 12 | 59 |
| 2020 June | 34 | 12 | 46 |
| 2020 May | 46 | 21 | 67 |
| 2020 April | 26 | 17 | 43 |
| 2020 March | 29 | 9 | 38 |
| 2020 February | 35 | 17 | 52 |
| 2020 January | 35 | 20 | 55 |
| 2019 December | 39 | 27 | 66 |
| 2019 November | 27 | 22 | 49 |
| 2019 October | 13 | 18 | 31 |
| 2019 September | 24 | 18 | 42 |
| 2019 August | 23 | 18 | 41 |
| 2019 July | 31 | 23 | 54 |
| 2019 June | 27 | 22 | 49 |
| 2019 May | 41 | 29 | 70 |
| 2019 April | 42 | 22 | 64 |
| 2019 March | 24 | 10 | 34 |
| 2019 February | 26 | 12 | 38 |
| 2019 January | 16 | 13 | 29 |
| 2018 December | 20 | 16 | 36 |
| 2018 November | 30 | 17 | 47 |
| 2018 October | 41 | 13 | 54 |
| 2018 September | 16 | 10 | 26 |
| 2018 July | 4 | 0 | 4 |
| 2018 June | 1 | 0 | 1 |
| 2018 May | 3 | 0 | 3 |
| 2018 April | 7 | 0 | 7 |
| 2018 March | 8 | 0 | 8 |
| 2018 February | 5 | 0 | 5 |
| 2018 January | 9 | 0 | 9 |
| 2017 December | 5 | 0 | 5 |
| 2017 November | 7 | 0 | 7 |
| 2017 October | 14 | 0 | 14 |
| 2017 September | 9 | 0 | 9 |
| 2017 August | 6 | 0 | 6 |
| 2017 July | 8 | 1 | 9 |
| 2017 June | 16 | 22 | 38 |
| 2017 May | 17 | 9 | 26 |
| 2017 April | 10 | 8 | 18 |
| 2017 March | 11 | 6 | 17 |
| 2017 February | 12 | 3 | 15 |
| 2017 January | 8 | 5 | 13 |
| 2016 December | 20 | 4 | 24 |
| 2016 November | 17 | 10 | 27 |
| 2016 October | 38 | 4 | 42 |
| 2016 September | 29 | 7 | 36 |
| 2016 August | 20 | 4 | 24 |
| 2016 July | 13 | 8 | 21 |
| 2016 May | 1 | 0 | 1 |
| 2016 April | 1 | 0 | 1 |
| 2016 March | 1 | 0 | 1 |
| 2015 December | 5 | 0 | 5 |
| 2015 November | 1 | 0 | 1 |
| 2015 October | 2 | 7 | 9 |
| 2015 September | 5 | 10 | 15 |
| 2015 August | 1 | 6 | 7 |
| 2015 July | 10 | 10 | 20 |
| 2015 June | 10 | 0 | 10 |
| 2015 May | 13 | 0 | 13 |
| 2015 April | 13 | 9 | 22 |
| 2015 March | 12 | 3 | 15 |
| 2015 February | 8 | 4 | 12 |
| 2015 January | 11 | 1 | 12 |
| 2014 December | 21 | 4 | 25 |
| 2014 November | 20 | 1 | 21 |
| 2014 October | 19 | 3 | 22 |
| 2014 September | 19 | 3 | 22 |
| 2014 August | 26 | 4 | 30 |
| 2014 July | 32 | 4 | 36 |
| 2014 June | 65 | 6 | 71 |
| 2014 May | 84 | 3 | 87 |
| 2014 April | 79 | 2 | 81 |
| 2014 March | 90 | 10 | 100 |
| 2014 February | 72 | 6 | 78 |
| 2014 January | 91 | 10 | 101 |
| 2013 December | 100 | 8 | 108 |
| 2013 November | 97 | 4 | 101 |
| 2013 October | 69 | 3 | 72 |
| 2013 September | 80 | 14 | 94 |
| 2013 August | 87 | 13 | 100 |
| 2013 July | 64 | 9 | 73 |
| 2013 June | 4 | 2 | 6 |
| 2013 May | 5 | 2 | 7 |
| 2013 April | 5 | 2 | 7 |
| 2013 March | 9 | 1 | 10 |
| 2013 February | 17 | 1 | 18 |
| 2013 January | 3 | 0 | 3 |
| 2012 December | 3 | 0 | 3 |
| 2012 November | 4 | 1 | 5 |
| 2012 October | 1 | 0 | 1 |
| 2012 September | 2 | 1 | 3 |
| 2005 December | 3459 | 0 | 3459 |
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