Mollaret meningitis: a case report

Mollaret meningitis is characterized by three or more episodes of benign recurrent aseptic meningitis in which symptoms and signs resolve spontaneously within two to five days. Severe headache with an acute onset, fever and meningismus are the main clinical features. We report a case of Mollaret meningitis in a seven-year-old girl who presented with four aseptic meningitis episodes in one year

Prevalence and associated factors of lower urinary tract dysfunction in school‐aged children in Zonguldak, Turkey

AbstractBackgroundLower urinary tract dysfunction (LUTD) is a common issue in children. Data on the prevalence of LUTD in our country are limited. We aimed to investigate the prevalence and associated factors of LUTD among children in grades 1–8 in Zonguldak, located in northwestern Turkey, using a validated voiding dysfunction scoring system.MethodsThe study included students in grades 1–8 from schools in central Zonguldak during the 2021–2022 academic year. Parents of children who were included in the study were sent a questionnaire via the Internet. Demographic information, the child's medical history, details about voiding habits, and voiding dysfunction symptom score (VDSS) information were obtained. The data from 654 students whose parents completed the survey were analyzed.ResultsThe prevalence of LUTD, daytime urinary incontinence, and nocturnal enuresis were 9.6% (n = 63), 12.4% (n = 81), and 13% (n = 85), respectively. According to the survey responses, the most common symptoms were urgency (n = 253, 39%), followed by holding maneuvers (n = 140, 21.4%). There was no significant relationship between the mother's educational level and daytime urinary incontinence (p = 0.091). Daytime urinary incontinence was more common in children of fathers with lower educational levels (p = 0.021).ConclusionsThis study demonstrates a high prevalence of LUTD among school‐aged children. Constipation, urinary tract infections, and family history should be integral parts of the initial evaluation. Identifying the prevalence of LUTD and related risk factors in children is considered the first step in reducing and managing the number of affected children in the community.</jats:sec

Comparison of Hemogram Parameters in Febrile Seizures Types

Aim: Febrile seizures (FS) are among the most common neurological emergencies duringchildhood and clinically classified into two types, being simple febrile seizures (SFS) andcomplicated febrile seizures (CFS). The differentiation between FS types is important, in thatthey are associated with different morbidity and mortality risks and it is based on the clinicalcharacteristics of each seizure, however there is currently no laboratory test that can guide thisdifferentiation. In this study, the relationship between FS types and hemogram parameters wasevaluated and potential use of these parameters in differential diagnosis was investigated.Material and Methods: This retrospective study included a total of 133 patients whose firstFS met the criteria of an FS, and whose hemogram results were available. The AmericanAcademy of Pediatrics criteria were used to confirm the diagnosis. The patients were dividedinto two groups as SFS and CFS.Results: Hemoglobin (Hb), hematocrit (HCT), mean platelet volume (MPV), neutrophillymphocyte ratio (NLR) and platelet lymphocyte ratio (PLR) differed significantly betweentwo groups (p<0.001, p=0.002, p=0.033, p<0.001, p<0.001, respectively), while no significantdifference was identified in total blood count parameters. Moreover, MPV was significantlyhigher in CFS group than in SFS group.Conclusion: This is one of the few studies investigating the potential relationship betweenhemogram parameters and FS types in children. We believe that, although they do not ensurea clear differentiation, Hb, MPV, NLR and PLR may be useful to clinicians in differentiatingbetween FS types, particularly in patients with an unclear seizure history

Comparison of Hemogram Parameters in Febrile Seizures Types

Aim: Febrile seizures (FS) are among the most common neurological emergencies duringchildhood and clinically classified into two types, being simple febrile seizures (SFS) andcomplicated febrile seizures (CFS). The differentiation between FS types is important, in thatthey are associated with different morbidity and mortality risks and it is based on the clinicalcharacteristics of each seizure, however there is currently no laboratory test that can guide thisdifferentiation. In this study, the relationship between FS types and hemogram parameters wasevaluated and potential use of these parameters in differential diagnosis was investigated.Material and Methods: This retrospective study included a total of 133 patients whose firstFS met the criteria of an FS, and whose hemogram results were available. The AmericanAcademy of Pediatrics criteria were used to confirm the diagnosis. The patients were dividedinto two groups as SFS and CFS.Results: Hemoglobin (Hb), hematocrit (HCT), mean platelet volume (MPV), neutrophillymphocyte ratio (NLR) and platelet lymphocyte ratio (PLR) differed significantly betweentwo groups (p<0.001, p=0.002, p=0.033, p<0.001, p<0.001, respectively), while no significantdifference was identified in total blood count parameters. Moreover, MPV was significantlyhigher in CFS group than in SFS group.Conclusion: This is one of the few studies investigating the potential relationship betweenhemogram parameters and FS types in children. We believe that, although they do not ensurea clear differentiation, Hb, MPV, NLR and PLR may be useful to clinicians in differentiatingbetween FS types, particularly in patients with an unclear seizure history