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ORIGINAL RESEARCH
Year : 2020  |  Volume : 9  |  Issue : 4  |  Page : 131-134

Comorbidities in children with epilepsy


Department of Pediatrics, MGM Medical College and Hospital, Navi Mumbai, Maharashtra, India

Correspondence Address:
N Revathi
Department of Pediatrics, MGM Medical College and Hospital, Kamothe, Navi Mumbai - 410 209, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jpai.jpai_32_20

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Aims and Objectives: Children with epilepsy can have other coexisting issues related to the disease, drugs, or social factors. The spectrum and prevalence of these comorbidities are seldom considered. The aim of this study was to study the presence and type of comorbid factors in epileptic children and to determine the association between the age at diagnosis, duration, and type of epilepsy with comorbidities. Materials and Methods: It is a cross-sectional observational study conducted over a period of 18 months in a tertiary care hospital in Navi-Mumbai. Children with epilepsy, satisfying the inclusion criteria, were examined for the presence of comorbidities such as developmental delay, sleep disorders, hyperactivity, autism, and school performance. Standard screening questionnaire were used for each of the above conditions. Results: Sixty children with epilepsy were enrolled in our study. Fifty-two percent of these children were found to have multiple comorbidities, the most common being autism. Younger age at onset of epilepsy, polytherapy with anticonvulsant medications, generalized tonic-clonic seizures, higher frequency, and prolonged duration of epilepsy were found to be risk factors of comorbidities. Conclusion: From our study, we demonstrate that the risk of multiple comorbidities in children with epilepsy is high. Identifying these comorbidities can improve the quality of life in epileptic patients and hence should be a part of epilepsy management.


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