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J Korean Soc Emerg Med > Volume 8(4); 1997 > Article
Journal of The Korean Society of Emergency Medicine 1997;8(4): 542-547.
A Study of Infuential Factors on Glucose Levels in Blood and Cerebrospinal Fluid of Children with Convulsions
Dong Ho Park, Jin Park, Kyoung Woon Lee, Nam Soo Cho, Kug Hwan Kim, Eun Seok Yang, Kyung Rye Moon, Sang Kee Park
BACKGROUND: In febrile convulsions, glucose concentrations are known to increase both in the blood and cerebrospinal fluid(CSF). The reason behind this increase is, however, not completely understood. We have studied the effects of convulsion and fever on the CSF and blood concentrations in four different groups of children: convulsive and non- convulsive children, with and without fever.
This study was retrospectively undertaken to review medical records of 167 children who had lumbar puncture at Chosun University Hospital during 2 years from January 1994 to December 1996. The blood samples for glucose determinations were taken just before the lumbar puncture. The effects of several variables (body temperature, duration of fever, convulsions) were analysed on glucose concentrations in the CSF and blood between the groups.
1) The concentration of glucose in the CSF was significantly higher in convulsive children with(90.9+/-24.Smg/dl) and without fever(105+/-29.7mg/dl) than in non-convulsive children with(68.4+/-12.3mg/dl) and without fever(67.5+/-13.3mg/dl). 2) The concentration of glucose in the blood was not significant in the different groups. 3) There was no correlation between the body temperature and the concentration of glucose in the CSF(r=0.09, p>0.05).4) A negative correlation between the duration of the fever and the concentration of glucose in the CSF was found in febrile chi1dren (r=-0.26, p<0.05).
Our results show that an increase in the CSF glucose concentration in convulsive children may be influenced more by a stress reaction, evoked by the seizure than increased body temperature.
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