First Unprovoked Seizure in Indonesian Children

Introduction: First unprovoked seizure (FUS) in children is a frightening health problem that often to be taken to emergency room. EEG is absolutely required to determine seizure activity in the brain. It can differentiate seizures from nonepileptic paroxysmal events. This study aims to determine the EEG description of children who experience FUS. Methods: This study used a retrospective observational method using medical records. All patients in the category of children aged 0 months to 18 years old who came with their FUS and had recorded an EEG, were included. EEG recording is done as soon as possible and a maximum of 2 days after the seizure occurs. Data were analyzed using descriptive statistics and presented in tables and graphs. Result: The clinical characteristics of FUS show that the majority of boys (61.3%) are older than 5 years old (52.8%). The types of seizures that appear are more generalized seizures and mostly the duration is less than 5 minutes. A few patients have anemia. Abnormal EEG interpretation results reached 53.8% with around 68% of them showing epileptiform discharge. Classification of abnormal EEG indicates more on focal slowing, centrotemporal sharp wave, and BECTS activity. Conclusion: FUS in Indonesia mostly reported in boys. Generalized seizures were commonly seen. EEG interpretation is mostly abnormal that commonly showing epileptiform discharge. Most of the EEG abnormal classifications that lead to epileptiform activity are focal slowing. This can be a considerable of the possibility of recurrent seizure in later life.