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Can SEizures be the Sole Manifestation of Meningitis in Febrile Children? Pediatrics 92:527-534, Green,S.M.,et al, 1993 See this aricle in Pubmed Article Abstract Meningitis was associated with seizures in 115 cases(23%),and 105 of these children were either obtunded or comatose at their first visit with a physician after the seizure.The remaining 10 had relatively normal levels of consciousness and either were believed to have viral meningitis(2)or possessed straightforward indications for lumbar puncture;nuchal rigidity (6),prolonged focal seizures(1)or multiple seizures and a petechial rash. In our review of 503 consecutive children with meningitis,none were noted to have bacterial meningitis manifesting solely as a simple seizure.We suspect that this previously described entity is either extremely rare or nonexistent.Commonly taught decision rules requiring lumbar puncture in children with fever and a seizure appear to be unnecessarily restrictive.

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(click to filter results - removes previous filter) fever lumbar puncture lumbar puncture,indications for meningitis meningitis,bacterial meningitis,children meningitis,neurologic aspects and complications of meningitis,seizures with seizure

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