DETERMINATION OF CORRELATION BETWEEN ZINC LEVEL IN CEREBROSPINAL FLUID WITH KINDS OF FEBRILE CONVULSION.

Febrile convulsion is one of the most common causes of hospitalization of children in pediatric wards. The exact pathogenesis of seizure is not fully understood but involves several factors like genetic predisposition, changes in the levels of neurotransmitters, and some trace elements. The present study was conducted to evaluate the cerebrospinal fluid (CSF) zinc (Zn) level in children with types of febrile convulsion. Materials & Methods: This descriptive-analytical study was carried out from August 2008 to October 2009 to see the status of zinc in CSF of 26 children (6 months to 6 years) with febrile convulsion. All the patients who entered the study had an indication for lumbar puncture. We collected CSF samples from all children and assessed the concentration of zinc using flame atomic absorption spectrophotometry (AAS). We compared CSF zinc levels regarding seizure type and sex of children using statistical analysis. Results: Mean CSF zinc level in simple and complex febrile seizures were 2.1081 ± 0.5655 and 1.575 0.2339 [ m g/dl), respectively. This difference was statistically significant (P= 0.01). However, there was no relationship between CSF zinc status with sex (P=0.19). Conclusion: These finding revealed that CSF zinc level is higher in simple febrile convulsions than the complex febrile convulsions. CSF zinc concentration (μg/dl) did not differ between boys and girls significantly

[1]  J. Forfar,et al.  Textbook of pediatrics , 2013 .

[2]  L. Spina,et al.  Evaluation and management of pediatric febrile seizures in the emergency department. , 2011, Emergency medicine clinics of North America.

[3]  M. Amiri,et al.  Serum Trace Element Levels in Febrile Convulsion , 2010, Biological Trace Element Research.

[4]  M. Talebi-Taher,et al.  Serum Zinc Level in Children with Febrile Convulsion and its Comparison with that of Control Group , 2009 .

[5]  L. Janakiraman,et al.  Serum Zinc Levels in Children With Simple Febrile Seizure , 2008, Clinical pediatrics.

[6]  M. Ebadi,et al.  The selective inhibition of hippocampal glutamic acid decarboxylase in zinc-induced epileptic seizures , 1982, Neurochemical Research.

[7]  N. Nahar,et al.  Zinc in CSF of patients with febrile convulsion , 2002, Indian journal of pediatrics.

[8]  A. Berdeli,et al.  Proinflammatory cytokines, prostaglandins and zinc in febrile convulsions , 2001, Pediatrics international : official journal of the Japan Pediatric Society.

[9]  T. Hasegawa,et al.  Effect of anti-epileptic drugs on serum zinc and copper concentrations in epileptic patients. , 1993, International journal of clinical pharmacology, therapy, and toxicology.

[10]  B. Vallee,et al.  The biochemical basis of zinc physiology. , 1993, Physiological reviews.

[11]  D. Choi,et al.  Zinc selectively blocks the action of N-methyl-D-aspartate on cortical neurons. , 1987, Science.

[12]  R. Wilcox,et al.  Experimental Febrile Convulsions in Epileptic Chickens: The Anticonvulsant Effect of Elevated γ‐Aminobutyric Acid Concentrations , 1985, Epilepsia.

[13]  M. Jackson,et al.  TWO PREGNANCIES IN A PATIENT WITH ACRODERMATITIS ENTEROPATHICA TREATED WITH ZINC SULPHATE , 1981, The Lancet.