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Unveiling the Nexus: Is Iron and Sodium Deficiency in Children with Febrile Seizures Risk Factor?

Year 2024, Volume: 6 Issue: 3, 491 - 495, 24.09.2024
https://doi.org/10.37990/medr.1495742

Abstract

Aim: To examine the connection between the brain and sodium and iron levels in children under age 6.
Material and Method: This retrospective cohort study at Karabuk University Faculty of Medicine included 121 patients divided into three groups: Febril seizure (FS) patients, only fever children without FS, and healthy children. Our study distinguishes itself from other research in this field by its distinctive approach. Various laboratory parameters including sodium, Urea, Creatinine, AST, ALT, RDW, RDW Index, Mentzer Index, Hb, MCV, Ferritin and iron were compared among the groups. Statistical analysis used SPSS software and significance tests.
Results: Significantly lower sodium levels were observed in FS patients and iron levels were notably lower in children with FS. This findings suggest a potential association between lower sodium and iron levels in children with febrile seizures. Thus contributing to unveiling the nexus of brain. Additionaly, elevated AST levels in FS may signify liver function changes. findings suggest a connection between the liver function and brain function. However, urea and creatinine variations were non-significant.
Conclusion: Our findings suggest a potential association between electrolyte levels in children with febrile seizures. Iron plays a crucial role in brain metabolism and is necessary for the activity of certain enzymes involved in neurotransmitter functions. The low levels of sodium and particularly iron in the serum biochemistry of FS patients suggest a connection between these minerals and brain function. Moreover, the observed association between liver function markers and febrile seizures warrants further investigation into the link between liver health and brain function.

Ethical Statement

Ethical approval: The study strictly adhered to the ethical principles outlined in the Declaration of Helsinki. This study was approved by the Ethics Committee of Karabük University (Ethical Approval Date: 27/02/2023, Ethic Decission No: 2023/1273).

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References

  • Smith DK, Sadler KP, Benedum M. Febrile seizures: risks, evaluation, and prognosis. Am Fam Physician. 2019;99:445-50.
  • Ibrahim GM, Sharma P, Hyslop A, et al. Presurgical thalamocortical connectivity is associated with response to vagus nerve stimulation in children with intractable epilepsy. Neuroimage Clin. 2017;16:634-42.
  • Li Y, Zhu H, Chen Q, et al. Immediate effects of vagal nerve stimulation in drug-resistant epilepsy revealed by magnetoencephalographic recordings. Brain Connect. 2023;13:51-9.
  • Nishiyama M, Yamaguchi H, Ishida Y, et al. Seizure prevalence in children aged up to 3 years: a longitudinal population-based cohort study in Japan. BMJ Open. 2020;10:e035977.
  • Kumari PL, Rajamohanan K, Krishnan ASA. Risk factors of first episode simple febrile seizures in children aged 6 month to 5 year: a case control study. Indian Pediatr. 2022;59:871-4.
  • Sandeep M, Sridhar PV, Thammanna PS, Ishrath Fathima TM. Serum ferritin serum sodium levels in children of age 6-60 months with febrile seizure: a cross-sectional study in a tertiary care hospital. Journal of Cardiovascular Disease Research. 2022;13:2183-9.
  • Jang HN, Yoon HS, Lee EH. Prospective case control study of iron deficiency and the risk of febrile seizures in children in South Korea. BMC Pediatr. 2019;19:309.
  • Yousefichaijan P, Eghbali A, Rafeie M, et al. The relationship between iron deficiency anemia and simple febrile convulsion in children. J Pediatr Neurosci. 2014;9:110-4.
  • Günes A, Fidan S, Dulkadir R, Ünlü E. Evaluation of risk factors associated with first episode febrile seizure. Eur Rev Med Pharmacol Sci. 2021;25:7089-92.
  • Oguz S. B, Kacar A, Dikker O, et al. Evaluation of serum zinc levels in children of 6 months to 5 years of age diagnosed with simple febrile seizures. Iran J Pediatr. 2023;33:e132778.
  • Miyagi Y, Sasano T, Kato H, et al. Hyponatremia and recurrent febrile seizures during febrile episodes: a meta-analysis. Cureus. 2022;14:e24398.
  • Kubota J, Higurashi N, Hirano D., et al. Predictors of recurrent febrile seizure during the same febrile illness in children with febrile seizure. J Neurol Sci. 2020;411:116682.
  • Murata S, Okasora K, Tanabe T, et al. Acetaminophen and febrile seizure recurrences during the same fever episode. Pediatrics. 2018;142:e20181009.
  • Ahmadi A, Shariatmadari F, Yousefichaijan P, et al. Evaluation of renal function and urinalysis in children with simple febrile convulsions. Clin Pediatr. 2023;62:713-20.
  • Canpolat M, Per H, Gumus H, et al. Investigating the prevalence of febrile convulsion in Kayseri, Turkey: an assessment of the risk factors for recurrence of febrile convulsion and for development of epilepsy. Seizure. 2018;55:36-47.
Year 2024, Volume: 6 Issue: 3, 491 - 495, 24.09.2024
https://doi.org/10.37990/medr.1495742

Abstract

References

  • Smith DK, Sadler KP, Benedum M. Febrile seizures: risks, evaluation, and prognosis. Am Fam Physician. 2019;99:445-50.
  • Ibrahim GM, Sharma P, Hyslop A, et al. Presurgical thalamocortical connectivity is associated with response to vagus nerve stimulation in children with intractable epilepsy. Neuroimage Clin. 2017;16:634-42.
  • Li Y, Zhu H, Chen Q, et al. Immediate effects of vagal nerve stimulation in drug-resistant epilepsy revealed by magnetoencephalographic recordings. Brain Connect. 2023;13:51-9.
  • Nishiyama M, Yamaguchi H, Ishida Y, et al. Seizure prevalence in children aged up to 3 years: a longitudinal population-based cohort study in Japan. BMJ Open. 2020;10:e035977.
  • Kumari PL, Rajamohanan K, Krishnan ASA. Risk factors of first episode simple febrile seizures in children aged 6 month to 5 year: a case control study. Indian Pediatr. 2022;59:871-4.
  • Sandeep M, Sridhar PV, Thammanna PS, Ishrath Fathima TM. Serum ferritin serum sodium levels in children of age 6-60 months with febrile seizure: a cross-sectional study in a tertiary care hospital. Journal of Cardiovascular Disease Research. 2022;13:2183-9.
  • Jang HN, Yoon HS, Lee EH. Prospective case control study of iron deficiency and the risk of febrile seizures in children in South Korea. BMC Pediatr. 2019;19:309.
  • Yousefichaijan P, Eghbali A, Rafeie M, et al. The relationship between iron deficiency anemia and simple febrile convulsion in children. J Pediatr Neurosci. 2014;9:110-4.
  • Günes A, Fidan S, Dulkadir R, Ünlü E. Evaluation of risk factors associated with first episode febrile seizure. Eur Rev Med Pharmacol Sci. 2021;25:7089-92.
  • Oguz S. B, Kacar A, Dikker O, et al. Evaluation of serum zinc levels in children of 6 months to 5 years of age diagnosed with simple febrile seizures. Iran J Pediatr. 2023;33:e132778.
  • Miyagi Y, Sasano T, Kato H, et al. Hyponatremia and recurrent febrile seizures during febrile episodes: a meta-analysis. Cureus. 2022;14:e24398.
  • Kubota J, Higurashi N, Hirano D., et al. Predictors of recurrent febrile seizure during the same febrile illness in children with febrile seizure. J Neurol Sci. 2020;411:116682.
  • Murata S, Okasora K, Tanabe T, et al. Acetaminophen and febrile seizure recurrences during the same fever episode. Pediatrics. 2018;142:e20181009.
  • Ahmadi A, Shariatmadari F, Yousefichaijan P, et al. Evaluation of renal function and urinalysis in children with simple febrile convulsions. Clin Pediatr. 2023;62:713-20.
  • Canpolat M, Per H, Gumus H, et al. Investigating the prevalence of febrile convulsion in Kayseri, Turkey: an assessment of the risk factors for recurrence of febrile convulsion and for development of epilepsy. Seizure. 2018;55:36-47.
There are 15 citations in total.

Details

Primary Language English
Subjects Infant and Child Health, Paediatrics (Other)
Journal Section Original Articles
Authors

Yusuf Deniz 0000-0003-3684-2421

Umut Durak 0000-0002-1071-6841

Erkan Doğan 0000-0003-1620-4123

Sadrettin Ekmen 0000-0002-9031-6361

Publication Date September 24, 2024
Submission Date June 9, 2024
Acceptance Date August 18, 2024
Published in Issue Year 2024 Volume: 6 Issue: 3

Cite

AMA Deniz Y, Durak U, Doğan E, Ekmen S. Unveiling the Nexus: Is Iron and Sodium Deficiency in Children with Febrile Seizures Risk Factor?. Med Records. September 2024;6(3):491-495. doi:10.37990/medr.1495742

17741

Chief Editors

Assoc. Prof. Zülal Öner
Address: İzmir Bakırçay University, Department of Anatomy, İzmir, Türkiye

Assoc. Prof. Deniz Şenol
Address: Düzce University, Department of Anatomy, Düzce, Türkiye

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