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Open AccessArticle

Characterization of Pediatric Seizures in the Commonwealth of the Northern Mariana Islands

1
Department of Emergency Medicine, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390, USA
2
Department of Pediatrics, Commonwealth Healthcare Corporation, Garapan, Saipan 96950, Northern Mariana Islands
*
Author to whom correspondence should be addressed.
Children 2020, 7(4), 26; https://doi.org/10.3390/children7040026
Received: 1 February 2020 / Revised: 13 March 2020 / Accepted: 30 March 2020 / Published: 1 April 2020
Saipan is a United States (US) territory Western Pacific island where little recent data exists regarding epidemiology, clinical presentation, and standard of care for pediatric seizures. This paper characterizes these features in Saipan’s pediatric population with comparisons to mainland US. This is a retrospective chart review of all pediatric patients with a history of seizures at the island’s only hospital and major private neurology clinic over a 10-year period. Variables regarding demographics, presentation, diagnosis, and treatment were collected. A total of 144 patients were included, with 101 patients diagnosed with febrile seizures and 31 patients diagnosed with non-febrile seizures. Age at first presentation peaked at 1 year old overall. The most common identified etiology of epilepsy was found to be hypoxic injury (39%), hemorrhagic injury (10%), cerebral malformation (6%), and brain mass (6%). Simple versus complex classification of febrile seizures, etiologies, and first-line treatment for non-febrile seizures were comparable to the mainland US. Electroencephalogram (EEG) was not used consistently in diagnosis. The findings from this study demonstrate that clinical presentations of pediatric seizures in Saipan are comparable to those in the mainland US. View Full-Text
Keywords: Pediatric; children; seizure; epilepsy; epidemiology; Saipan Pediatric; children; seizure; epilepsy; epidemiology; Saipan
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Yogesh, A.; Taylor, M.; Chang, M.P. Characterization of Pediatric Seizures in the Commonwealth of the Northern Mariana Islands. Children 2020, 7, 26.

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